An interventional study of Physiotherapy in Cesarean Section, sponsored by Hacettepe University. Completed at 1 site in Turkey. Open to female participants aged 19 Years to 42 Years. Per ClinicalTrials.gov, last updated 2025-03-13.
Sponsored by Hacettepe University · Not applicable, Interventional, and Treatment
This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems.
This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems which make difficulties in functional activities, and includes a physiotherapy intervention group and a control group. Physical characteristics, obstetrical and surgical histories, and systemic problems, back pain, low back pain, headache, urinary/fecal incontinence problems and bowel habit of the subjects both in pregnancy and postpartum periods are recorded. First ambulation time after cesarean, presence of syncope, related vital signs, onset time of bowel peristalsis and defecation are also recorded. Intensities of incisional pain and difficulty in performing functional activities are evaluated by daily 0-10 cm visual analogue scales (VASs). Also, intensities of back pain, low back pain, headache, bloated feeling of the abdomen, and fatigue are also evaluated by daily VASs. Physiotherapy program included breathing exercises, active joint movements of the lower limbs, posture exercises, connective tissue manipulation and transcutaneous electrical nerve stimulation.
Hacettepe University is the lead sponsor of 983 studies on the registry; 212 are open to participants now.
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cesarean section giving birth to single baby having cesarean under general anesthesia
Exclusion Criteria:
giving birth to multiple babies being followed in intensive care unit after cesarean because of complications
All subjects were operated by the same obstetrician (SB) and lower segment transverse incision technique was used for the cesarean section. After delivery, patients were transferred to their rooms within the obstetric ward. Vital signs (heart rate, blood pressure and breathing rate) and body temperatures were assessed regularly. Patients were not allowed to feed orally before bowel movements had started. For post-operative pain control in the first 24 h, meperidine (50 mg, 4 × 1) and non-steroid anti-inflammatory medicine (4 × 1) were administered intravenously. If required by the patient, additional analgesics or anti-inflammatory medications were also administered by the nurses, who were blinded to the group assignment. Patients were encouraged for early ambulation after delivery if they were not hypotensive and uterine bleeding was under control. Initially, they ambulated 10-15 m inside their rooms, and the intensity increased in hours and days. Patients were usually discharged wit
Other: Physiotherapy
Thoracic expansion exercises and huffing technique Lower limb exercises TENS with frequency of 120 Hz and pulse width of 60 μs was used for 30 min in every session Connective tissue manipulation (CTM) to the sacral and lumbar regions, Education (proper use of body mechanics during baby caring and daily activities; improving posture; anatomy and functions of the pelvic floor and Knack maneouvre)
Also known as: exercise, TENS, patient education and recommendations, connective tissue manipulation
incisional pain intensity
Intensity of incision pain was evaluated by horizontal 0-10 cm visual analogue scales (VASs:0 = no pain, 10 = unbearable pain).
Time frame: Intensity of incision pain was evaluated daily during hospitalization period before the physiotherapy program in the study group.
intensity of difficulty in functional activities
Intensity of difficulty in functional activities was evaluated by horizontal 0-10 cm visual analogue scales (VASs:0 = no difficulty, 10 = unable to perform the activity).
Time frame: Intensity of difficulty in functional activities was evaluated daily during hospitalization period before the physiotherapy program in the study group.
first ambulation time
Time from transfer to obstetric department room to first ambulation after cesarean.
Time frame: From transfer to obstetric department room to first ambulation after cesarean
onset time of bowel peristalsis
Time of breaking gas and defecation after Cesarean.
Time frame: Only once when breaking gas and defecation occured after Cesarean.
Vital signs
Heart rate, blood pressure, breathing rate and body temperature
Time frame: Vital signs were measured before and after first ambulation
Length of staying at the hospital and number of analgesic/anti-inflammatory medication additional to the standard pain control procedure
Length of staying at the hospital and number of analgesic/anti-inflammatory medication additional to the standard pain control procedure were recorded, and also cases were observed for any adverse effects which may be due to the physiotherapy applications.
Time frame: Only once before discharge from the hospital
This study is completed, as verified in Mar 2006. You cannot join it, but the record below documents what was studied.
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Hacettepe University