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- Background: The rate of cesarean section (CS) deliveries continues to increase in Indonesia. Bali Province ranks first nationally, with a cesarean delivery rate of 53.2%. Cesarean section results in surgical wounds that cause pain in postpartum mothers. One non-pharmacological intervention to reduce pain is early mobilization through video media. Objective: This study aimed to determine the differences in pain intensity among post-cesarean mothers before and after receiving early mobilization through video media. Methods: This study employed a quantitative approach with a pre-experimental one-group pretest-posttest design. The study population consisted of post-cesarean mothers at Singasana Regional General Hospital. A total of 26 respondents who met the inclusion and exclusion criteria were recruited. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The intervention consisted of early mobilization delivered through a 3-minute and 23-second video, accompanied by healthcare personnel. Data were analyzed using the Wilcoxon test. Results: Most respondents were aged 20–35 years, multiparous, had completed senior high school, and were employed. The median pain intensity decreased from 5.00 before the intervention to 3.00 after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant difference in pain intensity before and after the intervention. Conclusion: Early mobilization through video media was effective in reducing pain intensity among post-cesarean mothers. Video media can be utilized as an educational tool to support the implementation of early mobilization in healthcare settings..

Postoperative pain following Sectio Caesarea (SC) is a common clinical problem, reported within the first 24 hours in approximately 50-85% of patients. This postoperative pain can affect maternal comfort, early mobilization, and the recovery process. Theoretically, post-SC pain is associated with tissue trauma and nociceptive responses. Enhanced Recovery After Surgery (ERAS) is an increasingly implemented method because it is considered capable of accelerating postoperative recovery and reducing pain intensity after surgical procedures. This study aimed to describe the distribution of post-Sectio Caesarea pain intensity based on patient characteristics. This research employed a descriptive quantitative design with an observational approach. Data were collected using a total sampling technique from all post-SC patients managed with the ERAS method at RSI Fatimah over a one-month period, with a total of 50 respondents. The research instrument used was the Visual Analogue Scale (VAS). Data were analyzed univariately in the form of frequency and percentage distributions. The results showed that the majority of respondents were in early adulthood (26-35 years), accounting for 40 respondents (80.0%), multiparous women totaled 30 respondents (60.0%), maternal indications were found in 33 respondents (66.0%), and 27 respondents (54.0%) had no previous history of SC. Within the first 2 hours after SC, most mothers experienced mild pain (scale 1-3), totaling 31 respondents (62.0%). At 8 hours after analgesic administration, mild pain remained predominant, with 36 respondents (72.0%). In conclusion, most mothers who underwent Sectio Caesarea using the ERAS method experienced mild pain during the early postoperative period.

Postoperative pain following Sectio Caesarea (SC) is a common clinical problem, reported within the first 24 hours in approximately 50-85% of patients. This postoperative pain can affect maternal comfort, early mobilization, and the recovery process. Theoretically, post-SC pain is associated with tissue trauma and nociceptive responses. Enhanced Recovery After Surgery (ERAS) is an increasingly implemented method because it is considered capable of accelerating postoperative recovery and reducing pain intensity after surgical procedures. This study aimed to describe the distribution of post-Sectio Caesarea pain intensity based on patient characteristics. This research employed a descriptive quantitative design with an observational approach. Data were collected using a total sampling technique from all post-SC patients managed with the ERAS method at RSI Fatimah over a one-month period, with a total of 50 respondents. The research instrument used was the Visual Analogue Scale (VAS). Data were analyzed univariately in the form of frequency and percentage distributions. The results showed that the majority of respondents were in early adulthood (26-35 years), accounting for 40 respondents (80.0%), multiparous women totaled 30 respondents (60.0%), maternal indications were found in 33 respondents (66.0%), and 27 respondents (54.0%) had no previous history of SC. Within the first 2 hours after SC, most mothers experienced mild pain (scale 1-3), totaling 31 respondents (62.0%). At 8 hours after analgesic administration, mild pain remained predominant, with 36 respondents (72.0%). In conclusion, most mothers who underwent Sectio Caesarea using the ERAS method experienced mild pain during the early postoperative period.

Background: Sectio caesarea can delay physical function recovery in postpartum mothers, affecting daily activities. Early mobilization is an intervention that may accelerate recovery. Purpose: To analyze the effectiveness of early mobilization in accelerating physical function recovery in post-sectio caesarea patients at RS Muhammadiyah Selogiri. Method: Quasi-experimental design with a non-equivalent control group pretest-posttest design. Thirty-four postpartum mothers were divided into intervention (n=17) and control (n=17) groups. The Barthel Index, Numeric Rating Scale (NRS), and observation sheets were used. Results: The intervention group showed faster recovery with significant improvements in Barthel Index scores, time to ambulate independently, and pain reduction (p<0.001). Conclusion: Early mobilization effectively accelerates physical function recovery in post-sectio caesarea patients.

Background: Sectio caesarea can delay physical function recovery in postpartum mothers, affecting daily activities. Early mobilization is an intervention that may accelerate recovery. Purpose: To analyze the effectiveness of early mobilization in accelerating physical function recovery in post-sectio caesarea patients at RS Muhammadiyah Selogiri. Method: Quasi-experimental design with a non-equivalent control group pretest-posttest design. Thirty-four postpartum mothers were divided into intervention (n=17) and control (n=17) groups. The Barthel Index, Numeric Rating Scale (NRS), and observation sheets were used. Results: The intervention group showed faster recovery with significant improvements in Barthel Index scores, time to ambulate independently, and pain reduction (p<0.001). Conclusion: Early mobilization effectively accelerates physical function recovery in post-sectio caesarea patients.

Post section caesarea (SC) and method of operative female sterilization (MOW) are surgical procedures that may cause various problems, such as pain, limited mobility, decreased muscle strength, and risk of postoperative complications. Physiotherapy management through exercise therapy is an important intervention to accelerate the recovery process. Objective this study aimed to determine the effectiveness of exercise therapy in improving the functional condition of patients post SC and MOW in Annisa Ward 32 A at PKU Muhammadiyah Karanganyar Hospital. Method: used was a case report on a 33-year-old female patient following SC and MOW procedures. The physiotherapy interventions included deep breathing exercises, active range of motion exercises of the extremities, light abdominal muscle contractions, gradual early mobilization, as well as breast massage and oxytocin stimulation. The results showed a reduction in pain from a scale of 4–5 to 2–3 based on the Numeric Rating Scale (NRS), improvement in mobility such as independent position changes, and increased activity tolerance, including sitting and walking with minimal assistance. In addition, the patient showed increased confidence in performing daily functional activities. Conclusion: exercise therapy has a positive effect on improving mobility, reducing pain, and accelerating functional recovery in post SC and MOW patients. Therefore, exercise therapy is recommended as an essential component of postoperative physiotherapy management to improve patients' quality of life.

Background: Sambirejo is prone to landslides due to steep slopes and heavy rainfall, but community preparedness remains low due to limited awareness campaigns, the absence of emergency response teams, minimal reforestation, and a lack of knowledge about local disaster evacuation procedures. Objective: To determine the preparedness of residents in facing landslides in Dukuh Secang. Method: The method used was a direct survey with a sample size of 57 respondents and used Non- probability Sampling with the Purposive method. Results: The study shows that based on the characteristics of the respondents, the majority are young adults aged 26-35 years (26.3%), the majority are female with 33 respondents (57.9%), and the majority have a high school education (43.9%). The overall results indicate that the preparedness of residents in Dukuh Secang Jetis Sambirejo Sragen is in the “Very Prepared” category. The preparedness indicators showed a high level of knowledge (64.9%), policies and guidelines (94.7%), emergency plans (94.7%), warning systems (94.7%), and resource mobilization (91.2%). Conclusion: The preparedness of residents in facing landslides in Dukuh Secang, Jetis Sambirejo Village, Sragen is in the very ready category with a preparedness index score of 78.9%.

Providing passive ROM to the extremities can help improve blood circulation, improve respiratory function, and support the recovery of consciousness as assessed using the Aldrete Score. The purpose of this study was to determine the effect of providing early passive ROM mobilization of the extremities on changes in the Aldrete score in patients after general anesthesia. This study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 57 respondents. The intervention provided was early passive ROM mobilization. The Aldrete score was measured before and after the intervention. Data analysis used the Wilcoxon signed rank test with a significance level of α = 0.05. The results showed that the average Aldrete score before the intervention was 5.89 and after the intervention increased to 9.26. The results of the statistical test showed a p value = 0.0001 (p <0.05), which means that there is a significant effect of providing early passive ROM mobilization of the extremities on increasing the Aldrete score after general anesthesia. From this study, it can be concluded that there is an effect of providing early passive ROM mobilization of the extremities on increasing the Aldrete score after general anesthesia.

The postpartum period following Sectio Caesarea is often accompanied by acute pain due to surgical incisions, which may interfere with mobilization, breastfeeding, and maternal recovery. Effective pain management is essential to prevent further complications and enhance maternal comfort. In addition to pharmacological therapy, non-pharmacological interventions such as Benson relaxation therapy can be implemented. This study aimed to evaluate the application of Benson relaxation therapy in reducing acute pain among postpartum Sectio Caesarea mothers.This study employed a case study design involving four postpartum Sectio Caesarea patients (Ny. R, Ny. A, Ny. Y, and Ny. S) treated in the Ayyub Ward of RS Roemani Muhammadiyah Semarang in 2026. Data were collected through comprehensive nursing assessments, pain intensity measurement using a numeric rating scale, observation of mobilization ability, and evaluation before and after intervention.The results showed that after regular implementation of Benson relaxation therapy, all patients experienced a gradual decrease in pain intensity (from scale 4–7 to ≤3), improved comfort, better breathing control, and increased ability to perform early mobilization. Consistent nursing education, therapeutic guidance, and family involvement supported the effectiveness of the intervention. It can be concluded that Benson relaxation therapy is an effective, safe, and easily applicable nursing intervention for reducing acute pain in postpartum Sectio Caesarea patients.

A decrease in the height of the uterine fundus is an important indicator of a normal uterine involution process after childbirth. Delayed reduction of fundal height may lead to uterine subinvolution, which increases the risk of postpartum hemorrhage, particularly in post–cesarean section mothers. Early breastfeeding and early mobilization are recommended interventions to support uterine contraction, prevent vaginal bleeding, and accelerate uterine involution. This study aimed to examine the effect of early breastfeeding and early mobilization on reducing the height of the uterine fundus in post–sectio caesarea mothers treated in the Amaryllis SMC Room at Telogorejo Hospital. The study employed a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of 523 post–cesarean section mothers hospitalized at SMC Telogorejo Hospital between January and November 2023. Data were collected using structured observation sheets to measure fundal height before and after the interventions. The results showed that the average uterine fundal height before early breastfeeding and early mobilization was 19.74 cm above the symphysis, while after the interventions it decreased to an average of 12.49 cm above the symphysis. Statistical analysis indicated a significant effect of early breastfeeding and early mobilization on the reduction of uterine fundal height (p = 0.000). These findings highlight the importance of implementing early breastfeeding and mobilization as part of postpartum nursing care to support uterine involution and reduce the risk of complications in post–cesarean section mothers.

Postoperative pain is a common clinical condition experienced by patients after surgical procedures and may hinder the recovery process if not properly managed. In addition to pharmacological therapy, safe and effective non-pharmacological interventions are needed, one of which is early mobilization. This study aimed to analyze the effect of early mobilization on pain reduction in postoperative surgical patients. A scoping review method was conducted based on the Arksey and O’Malley framework. Literature searches were performed using ScienceDirect, PubMed, and Google Scholar databases with a PICO strategy, including articles published within the last five years. From a total of 167,948 identified articles, 10 studies met the inclusion criteria and were included in the analysis. The results showed that early mobilization performed gradually and according to patients’ clinical conditions had a significant effect on reducing postoperative pain intensity. In addition, early mobilization was associated with improved comfort, enhanced functional recovery, and faster postoperative rehabilitation without increasing the risk of complications. Although variations were found in the timing and type of mobilization across studies, overall evidence supports that early mobilization is safe and effective. In conclusion, early mobilization can be recommended as an evidence-based nursing intervention for postoperative pain management.

Early mobilization is an important component of postpartum midwifery care to prevent complications, accelerate physical recovery, and improve maternal comfort after delivery. However, not all mothers are able to perform early mobilization optimally due to fatigue, pain, and decreased energy after delivery. Sukari date palm juice (Extractum Phoenix dactylifera) is known to contain simple carbohydrates, minerals, and bioactive compounds that have the potential to increase energy and accelerate maternal recovery. This study aims to analyze the effect of consuming Sukari date palm juice on accelerating early mobilization of postpartum mothers from day 1 to day 3 in the working area of ​​the Sikui Community Health Center (UPT). The study used a quasi-experimental design with a pretest–posttest control group approach. The study sample consisted of 30 postpartum mothers divided into an intervention group (n=15) and a control group (n=15). Early mobilization ability was assessed based on the time the mother was able to sit, stand, and walk. The results showed that postpartum mothers in the intervention group experienced a significant acceleration in early mobilization compared to the control group, particularly in walking ability, with a time difference of up to 8–12 hours faster. The results of the Mann–Whitney statistical test showed a significant effect of date palm juice consumption on the acceleration of early mobilization (p < 0.001). Thus, Sukari date palm juice has been proven to be effective in accelerating early mobilization and can be recommended as a supporting nutritional intervention in postpartum midwifery care.

Closed distal humerus fractures are injuries involving the distal portion of the humeral bone without disruption of the overlying skin, most commonly resulting from direct trauma such as the impact of a heavy object or blunt force to the elbow region. Although relatively uncommon in adults, this type of fracture presents considerable complexity due to its proximity to neurovascular structures and the elbow joint. Diagnosis is established through targeted anamnesis, comprehensive physical examination, and radiographic imaging in two standard projections to assess the location, fracture pattern, and degree of displacement. Additional modalities such as computed tomography (CT) may be indicated in cases of articular or comminuted fractures to enhance operative planning. Management depends on fracture stability, the extent of displacement, and the condition of surrounding soft tissues. In unstable or comminuted fractures, operative intervention such as Open Reduction and Internal Fixation (ORIF) is the preferred approach to restore bony continuity, reconstruct articular anatomy, and enable early mobilization. The primary therapeutic goals are to optimize elbow function, maintain joint stability, and prevent long-term complications including stiffness, malunion, delayed union, or non-union. Postoperative rehabilitation plays a crucial role in preventing restricted range of motion and restoring extremity strength. This case report describes a 49-year-old male with a comminuted closed distal humerus fracture of the left arm following direct trauma from a heavy object. The patient underwent complete clinical and radiological evaluation and was treated with ORIF. Early outcomes demonstrated adequate restoration of stability and alignment, affirming that accurate diagnostic assessment and timely intervention significantly contribute to optimal functional recovery of the affected extremity.

Caesarean section (CS) is a major surgical procedure frequently performed for childbirth with specific medical indications. Early mobilization after CS is crucial to accelerate recovery and prevent complications. The Enhanced Recovery After Caesarean Surgery (ERACS) method is a modern approach aimed at enhancing recovery through multimodal pain management and early mobilization. This study aimed to investigate the effect of the ERACS method on early mobilization in post-caesarean section mothers. This research employed a quantitative design with a one-group post-test only approach. The study population comprised postpartum mothers following CS at Islamic Hospital (RSI) Al-Ikhlas Pemalang. A total of 50 respondents were selected using purposive sampling. Data were collected using observation sheets and analysed using a one-sample t-test. The results showed that the majority of respondents (78%) achieved independent early mobilization, with a statistically significant p-value of 0.000, indicating a meaningful effect. This study consists of viii (8) pages of introduction, 72 pages of main discussion, 5 data tables, 2 conceptual framework diagrams, and 8 supporting appendices. In conclusion, the ERACS method has a positive effect on early mobilization in post-caesarean section mothers.

Sectio caesarean (SC) is a major surgical procedure performed to save the mother and baby when normal delivery is not possible. However, this procedure may cause postoperative complications such as impaired physical mobility due to pain, muscle weakness, and anesthesia effects. These limitations can delay the healing process, increase the risk of infection, and reduce the mother's self-care ability. One effective non-pharmacological intervention to accelerate recovery is early mobilization through Range of Motion (ROM) exercises. This case study aims to analyze the effectiveness of early mobilization (ROM) intervention on improving mobility and reducing pain in post-sectio caesarean mothers. The study was conducted in June 2025 at RSUD Kajen with three respondents who underwent SC for different obstetric indications (postterm, CPD, and severe preeclampsia). The research design used a descriptive case study with pre–post intervention approach. The results showed that after performing ROM exercises gradually from six hours post SC, pain intensity decreased from a scale of 7–8 to 1–3 within three days. Mobility ability improved from only being able to turn sideways to sitting and walking with assistance. Respondents also showed increased motivation and independence in self-care activities. In conclusion, early mobilization (ROM) intervention is effective in accelerating recovery for post-sectio caesarean mothers. This intervention helps reduce pain, improve circulation, strengthen muscles, and enhance psychological adaptation. Early mobilization should be applied as part of routine nursing interventions in the postpartum ward.

Early mobilization is an important component of postpartum care that may influence the speed of uterine involution. Delayed uterine involution can increase the risk of postpartum complications, including hemorrhage and prolonged recovery. This study aimed to analyze the relationship between early mobilization and uterine involution among postpartum mothers at Gandasuli Public Health Center. An analytical observational study with a cross-sectional design was conducted from September to November 2025. The study population consisted of 56 postpartum mothers, selected using a total sampling technique. The independent variable was early mobilization, categorized based on the type of activity performed, while the dependent variable was uterine involution assessed through uterine fundal height reduction. Data were analyzed using descriptive statistics and Kendall’s tau-b correlation test. The results showed that most respondents practiced early mobilization, particularly standing and walking, and the majority experienced rapid uterine involution. Bivariate analysis revealed a statistically significant relationship between early mobilization and uterine involution (τ = -0.321; p = 0.010). In conclusion, early mobilization is significantly associated with faster uterine involution among postpartum mothers. Promoting early mobilization should be emphasized as part of routine postpartum care to support maternal recovery.

The rate of deliveries by cesarean section (CS) continues to increase globally and is projected to reach 29% by 2030. Although CS is medically effective in ensuring maternal and neonatal safety, the procedure often results in moderate to severe postoperative pain, which may hinder early mobilization, slow recovery, and reduce the mother’s overall quality of life. Effective pain management is therefore crucial. Non-pharmacological therapies such as endorphin massage and lavender aromatherapy have been recognized as complementary approaches that stimulate the release of relaxation hormones, provide natural analgesic effects, and help reduce anxiety. This study aimed to analyze the effect of combining endorphin massage and lavender aromatherapy on reducing pain levels in post-cesarean section mothers. A quasi-experimental design with a pre–posttest control group was employed. A total of 34 respondents were selected using purposive sampling and divided into intervention and control groups. The study was conducted in the maternity ward of SMC Telogorejo Hospital from March to April 2025. The intervention group received endorphin massage combined with lavender aromatherapy for 10–30 minutes, while the control group was given deep breathing relaxation only. Pain levels were measured before and after the intervention using the Numeric Rating Scale (NRS). Data were collected through questionnaires and medical records, and analyzed using univariate and bivariate techniques with the Mann–Whitney test. Results showed a p-value of 0.000 and Z = -3.774, indicating a significant effect of the intervention. These findings suggest that endorphin massage combined with lavender aromatherapy is effective in reducing postoperative pain. Further studies with larger samples are recommended to explore the optimal duration and frequency of therapy.

Background: A Caesarean section (CS) is a birthing procedure performed by making an incision in the mother's abdominal wall and uterus to deliver the baby, usually performed when normal vaginal delivery is not possible due to medical indications for the mother or fetus, such as placenta previa, abnormal presentation or position of the fetus, and other conditions that pose a risk of medical complications that endanger the mother and fetus. At Arjawinangun Regional Hospital, 1,491 CS births were recorded in 2021. One of the problems that often occurs in post-Cesarean section patients is impaired physical mobility, which causes limitations in the ability to move independently. This disorder needs to be addressed immediately so as not to hinder the recovery process. To overcome this problem, early mobilization intervention is very important. Early mobilization is a way to help patients increase their physical activity after undergoing surgery. Objective: This study aims to determine the description of the implementation of early mobilization in Mrs. M with impaired physical mobility after Caesarean section in the Dewi Sartika room, Arjawinangun Regional Hospital, Cirebon Regency, and to assess its effectiveness in overcoming these impaired physical mobility. Implementation method: This study used a case study method with research subjects in the form of patients who experienced impaired physical mobility after Sectio Caesarea at RSUD Arjawinangun Cirebon Regency. The implementation process involved providing early mobilization instructions which included light movement exercises tailored to the patient's condition. Results: The results of the study showed that after the implementation of early mobilization, impaired physical mobility in patients after Sectio Caesarea could be resolved significantly. Patients showed increased ability to move, reduced pain, and accelerated the post-operative recovery process.

Pulmonary contusion is a common complication of blunt chest trauma that leads to parenchymal damage, edema, and bleeding, resulting in impaired respiratory function. Thoracotomy procedures to manage rib fractures are often accompanied by complaints of chest pain and dyspnea. This study aimed to evaluate the effect of physiotherapy interventions, specifically breathing exercises and early mobilization, in reducing pain and shortness of breath in a patient diagnosed with pulmonary contusion post-thoracotomy. A case report method was employed with six sessions of breathing exercises and assisted active mobilization over a seven-day period. Assessment was conducted using pain scores, Borg dyspnea scale, and thoracic expansion measurements. Results indicated a reduction in pain and dyspnea scores as well as improved thoracic expansion in the fracture area. Physiotherapy interventions were shown to be effective in promoting respiratory recovery and reducing postoperative complications.

Sectio Saesarea is a way of delivering a fetus by making an incision in the uterine wall through the front wall of the abdomen or vagina or SC is a hysterotomy to deliver a fetus in the uterus (Batara, 2022, p.1). SC is known as one of the procedures that can save both mother and baby. SC can effectively prevent death and disability in mothers and newborns. SC is performed on 3 indication factors, namely maternal, fetal and obstetric factors themselves. The problem that usually arises after SC is pain. Patients after sectio caesarea surgery will feel pain when the effects of anesthetic drugs have disappeared (Solehati & Kosasih, 2015). Postoperative pain after anesthesia is a common complication and will appear 1-3 hours (Saputra, at, al.2023). Pain appears due to the release of pain receptors due to the disconnection of tissue continuity due to the incision process during surgery. Post SC patients usually complain of pain in the abdominal incision area (Wahyuningsih et al., 2022). Pain in patients must be treated immediately so as not to interfere with the mother's activities. There are 2 pain management, namely pharmacological and non-pharmacological. Pharmacological therapy is carried out by administering drug therapy to reduce pain. Non-pharmacological therapy that can be done to reduce pain is one of them early mobilization. Early mobilization after cesarean section is a movement, position or activity carried out by the mother several hours after giving birth by cesarean section (Mawarni, 2018). Early mobilization techniques are very effective in relieving pain. Early mobilization is recommended for post-SC mothers, because it can increase the independence of post-SC patients, as well as support the wound healing process, and reduce pain (Dirgahayu, 2019). Early mobilization interventions can help patients reduce the pain scale felt postoperatively. Case studies using descriptive methods with a nursing process approach were carried out on 3 respondents of post op pregnant women using the One Group Pretest Posttest research design which was measured using the NRS instrument for 3 days. The results showed a decrease in the pain scale in respondents after being given early mobilization interventions.