The Application of Early Mobilization for Postoperative Pain Following a Cesarean Section at RSI PKU Muhammadiyah Pekajangan, Pekalongan Regency
Keywords:
Cesarean Section, Early Mobilization, Postoperative Pain, Functional Recovery, Nursing Care.Abstract
Cesarean section deliveries involve major abdominal incisions that cause intense postoperative pain, often leading to prolonged immobilization, heightened anxiety, and delayed recovery. Non pharmacological nursing interventions are critical to optimize recovery and mitigate reliance on heavy opioid analgesics. This clinical study evaluates the efficacy of progressive early mobilization on postoperative pain intensity, psychological adaptation, and functional safety among peripartum patients. An empirical descriptive case study with a sequential pre test and post test approach was conducted at RSI PKU Muhammadiyah Pekajangan in April 2026, involving five purposively selected postpartum mothers. Pain severity was systematically measured using the standardized Visual Analog Scale before and after a staged physical mobility protocol. The structured mobilization framework induced a uniform reduction of exactly three units on the pain scale for every subject, successfully shifting the cohort from moderate or severe distress to mild pain classifications. Furthermore, excellent wound integrity, complete hemodynamic stability, and reduced kinesiophobia were observed throughout all functional milestones. Progressive early mobilization represents a highly effective, safe, and independent nursing intervention that accelerates functional independence and safely alleviates post cesarean discomfort.
Downloads
References
Anggraini, N., Veronica, D., & Pamela, R. S. (2025). The Influence of Early Mobilization on the Healing Process in Post-Section Patients in Hospitals. Jurnal Penelitian Pendidikan IPA, 11(10), 726-731.
Arunita, A. V., Rahayu, H. S. E., & Wijayanti, K. (2025, June). Pain relief in motion: The benefits of early mobilization for patient with post-sectio caesarea. In Proceeding International Conference of Advancements in Nursing Care (Vol. 2, No. 1).
Asmuji, & Indriyani, D. (2021). Buku ajar keperawatan maternitas: Upaya promotif dan preventif dalam menurunkan angka kematian ibu dan bayi [Maternity nursing textbook: Promotive and preventive efforts in reducing maternal and infant mortality rates]. Ar-Ruzz Media.
Bruillot, M., Pieper, A., Sourd, D., Roge, A., Ramain, E., Salah, S., ... & Payen, J. F. (2026). Continuous Ropivacaine Wound Infiltration Versus Epidural Morphine After Unplanned Caesarean Delivery. Obstetric Anesthesia Digest, 46(1), 59-61.
Cahyani, S. U., Widhiyanto, A., Rahmat, N. N., & Alfarizi, M. (2023, September). Pengaruh mobilisasi dini terhadap tingkat nyeri pada pasien post operasi hernia di ruang rawat inap RS Islam Lumajang. In Jurnal Forum Kesehatan: Media Publikasi Kesehatan Ilmiah (Vol. 13, No. 2, pp. 45-50).
Carter, M., Narayanan, R., Toci, G., Lee, Y., Fras, S., Hammelef, E., ... & Schroeder, G. (2025). Inpatient Multimodal Pain Regimens Do Not Impact Hospital Length of Stay or Long-term Postoperative Opioid Use Following 1 and 2-Level Lumbar Fusion. Clinical Spine Surgery, 38(8), 368-373.
Chengwu, Z., & Ginting, J. B. (2022). Influence before and after Early Mobilization of Changes in Pain Levels in Post Orthopedic Surgery Patients at Royal Prima Medan Hospital in 2021. Britain International of Exact Sciences (BIoEx) Journal, 4(1), 24-30.
Damayanti, E. A. F., & Arofi, T. M. (2022). Psychological Adaptation: Taking Hold of Post Sectio Caesarian Primiparous Mother: Adaptasi Psikologis: Memegang Ibu Primipara Pasca Sectio Caesarian. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 12(04), 155-167.
Ekaputri, M., Kurniyanti, W. S., Putri, A. E. D., Juita, Setiani, D. Y., Sriwiyati, L., Sartika, D., Mahardini, F., Kristanto, B., Diyono, & Siswandi, I. (2022). Keperawatan medikal bedah 1 [Medical-surgical nursing 1]. Tahta Media Group.
Hanum, S. M. F., & Widowati, H. (2026). Determinants of Mobilization Speed Among Post-Caesarean Mothers in Sidoarjo. Jurnal Kebidanan Midwiferia, 12(1), 164-171.
Hao, F., Nasir, M. N. B. M., Malek, I. Z. B. A., & Saleh, M. Z. B. (2026). Development of the ACL postoperative rehabilitation model: a narrative study. Current Orthopaedic Practice, 37(4), e1361.
Hidayat, A. A. (2023). Metode penelitian keperawatan dan kesehatan [Nursing and health research methods]. Salemba Medika.
Insani, U., & Zuhriyyah, R. A. (2026). Implementasi Range of Motion (ROM) terhadap Kemampuan Mobilisasi pada Ibu Post Sectio Caesarea di Ruang Mawar RSUD KardinahKota Tegal. Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF), 4(1), 109-119.
Jabbar, D. M., Hassan, A. N., & Kareem, H. K. (2025). Effect of Transversus Abdominis Plane Block for Postoperative Analgesia after Caesarean Section on the Recovery from General Anesthesia. Journal Of Medicine And Surgery, 4(6), 1-11.
Javes, A. S. (2025). Physical Therapy May Improve Recovery After Cesarean Section During Hospital Admission: A Case Report. Journal of Acute Care Physical Therapy, 16(2), 55-60.
Judha, M., Sudarti, & Fauziah, A. (2021). Sistem muskuloskeletal dan integumen [Musculoskeletal and integumentary systems]. Nuha Medika.
Khoirunnisa, F. N., Muna, N., Tristanti, I., Rahmawati, A. M., & Purbowati. (2025). Effect of early mobilization on intestinal peristaltic recovery as prevention of paralytic ileus in post cesarean section patients.
Lutfiyaningsih, L., Risqiani, D., Urip, D., Lestari, E. I., & Prasetyorini, H. (2026). Penerapan Mobilisasi Dini pada Ibu Post Sectio Caesarea terhadap Penurunan Nyeri Pasca Operasi di Ruang Nifas RS Budi Rahayu Pekalongan Tahun 2025. Journal of Medical Practice and Research, 2(1), 344-352.
Mariati, N., Wulan, D. R., & Damayanti, E. (2026). The Relationship Between Early Mobilization and Wound Healing After Caesarean Section in the Postpartum Ward of Sultan Suriansyah Hospital Banjarmasin. International Journal Scientific and Professional, 5(2), 862-867.
Marrone, W., Andrews, R., Reynolds, A., Vignona, P., Patel, S., & O’Malley, M. (2024). Rehabilitation and return to sports after Achilles tendon repair. International Journal of Sports Physical Therapy, 19(9), 1152.
Moonti, A., Shalahuddin, S., & Solihah, S. (2023). Pemberian mobilisasi dini terhadap penurunan nyeri post operasi di RSUD Gunung Jati Kota Cirebon [The effect of early mobilization on reducing postoperative pain at RSUD Gunung Jati Cirebon City]. Jurnal Pemberdayaan dan Pendidikan Kesehatan (JPPK), 3(01), 9–16.
Purnama, D., Alam, H. S., & Justin, W. O. S. (2024). Postpartum Day 4 Midwifery Care For Mrs." D" With Pain From Post-Cesarean Section (Sc) In Bungi Health Center. International Journal of Multidisciplinary Learners, 1(1), 39-45.
Puspitaningsih, D., Prastya, A., & Kartiningrum, E. D. (2026). Pengaruh Mobilisasi Dini Terhadap Intensitas Nyeri Dan Waktu Pemulihan Fungsional (Studi Pada Pasien Post Sectio Caesarea). MEDICA MAJAPAHIT, 18(1), 41-51.
Sahir, S. H. (2022). Metodologi penelitian [Research methodology]. Penerbit KBM Indonesia.
Sezerano, M. L., & Niyonkuru, E. (2026). Personalized multimodal and opioid-sparing analgesia for postoperative pain management: enhancing recovery and addressing the post-discharge gap. Journal of Pain Research, 597049.
Soares, M. N., Shirinskiy, I. J., Schachner, J., MATASI collaborator group, M. C. G., Macken, A. A., Kling, A., ... & Buijze, G. A. (2026). Multifactorial approach training for anterior shoulder instability after a Latarjet procedure: protocol for a randomised controlled trial. BMJ open, 16(1), e109378.
Sugiyono. (2022). Metode penelitian kuantitatif [Quantitative research methods]. Alfabeta.
Sukmawati, E. (2025). The Effect of The Eracs Sectio Caesaria Method on Early Mobilization in Mothers Post-Sectio Caesaria. Quantum Wellness: Jurnal Ilmu Kesehatan, 2(4), 277-288.
Wandi, W., Faizah, A., & Sari, I. N. (2025). The Relationship of the Level Patient Satisfaction with Sectio Caesarean Action Eracs Method at Hj. Bunda Halimah Hospital. Zona Keperawatan: Program Studi Keperawatan Universitas Batam, 15(3).
Yanti, L., & Yudhoyono, D. T. (2024). Experience of Patients with Sectio Caesarean in Controlling Post Operative Nausea And Vomiting (PONV). Development Nursing Research, 1(1), 17-25.
Yudianto, K., & Fernanda, N. P. M. (2024). Evaluation of Pain Management in Post-Spinal Decompression and Posterior Stabilization Patients: Case Study. Journal of Nursing Care, 7(2), 87-95.
Zakiyah, A. (2022). Nyeri: Konsep dan penatalaksanaan dalam praktik keperawatan berbasis bukti [Pain: Concepts and management in evidence-based nursing practice]. Salemba Medika.











