The Journal of perinatal & neonatal nursing · 2026
Nurse-Led Early Ambulation After Caesarean Birth: A Cluster Randomized Controlled Trial of Recovery and Well-being Outcomes.
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Varghese Abin, Mundle Shuchita, Singh Manmohan, George Gigini, Kapoor Garima, Languichungliu Gangmei, Sulaiman Suhana, Swami Nisha, Poonia Priyanka
Аннотация
PURPOSE: To evaluate the effectiveness of a structured, nurse-led early ambulation program on postoperative pain, uterine involution, gastrointestinal recovery, and psychological outcomes among women after cesarean delivery.
METHODS: A cluster-randomized controlled trial was conducted in a tertiary hospital in India among post-cesarean women assigned to either a structured early ambulation program or routine care by study week (10 clusters, 1:1 ratio). The intervention began 8-10 hours after surgery and continued for 4 days under nurse supervision. Primary outcome was pain intensity; secondary outcomes included uterine involution, constipation, psychological well-being, anxiety, obstetric recovery, and global health, assessed on postoperative days 1 and 4.
RESULTS: Sixty women were equally allocated. The intervention group showed greater pain reduction, faster uterine involution, fewer gastrointestinal symptoms, improved psychological well-being, and better perceived global health. Obstetric recovery scores were higher, and early ambulation independently predicted lower pain on day 4.
CONCLUSIONS: A structured, nurse-delivered early ambulation program initiated within 10 hours post-cesarean reduced pain and promoted early recovery.
IMPLICATIONS FOR PRACTICE AND RESEARCH: Early ambulation is a feasible, low-cost strategy that can be integrated into routine post-cesarean care.
PRECIS: Early nurse-led ambulation improves physical and psychological recovery after cesarean birth.
METHODS: A cluster-randomized controlled trial was conducted in a tertiary hospital in India among post-cesarean women assigned to either a structured early ambulation program or routine care by study week (10 clusters, 1:1 ratio). The intervention began 8-10 hours after surgery and continued for 4 days under nurse supervision. Primary outcome was pain intensity; secondary outcomes included uterine involution, constipation, psychological well-being, anxiety, obstetric recovery, and global health, assessed on postoperative days 1 and 4.
RESULTS: Sixty women were equally allocated. The intervention group showed greater pain reduction, faster uterine involution, fewer gastrointestinal symptoms, improved psychological well-being, and better perceived global health. Obstetric recovery scores were higher, and early ambulation independently predicted lower pain on day 4.
CONCLUSIONS: A structured, nurse-delivered early ambulation program initiated within 10 hours post-cesarean reduced pain and promoted early recovery.
IMPLICATIONS FOR PRACTICE AND RESEARCH: Early ambulation is a feasible, low-cost strategy that can be integrated into routine post-cesarean care.
PRECIS: Early nurse-led ambulation improves physical and psychological recovery after cesarean birth.