Document Type : Original Article
Authors
1
Assistant Professor of Women's Health &Midwifery Nursing, Faculty of Nursing, Kafrelsheikh University, Egypt.
2
Assistant Professor of Maternal & Newborn Health Nursing, Faculty of Nursing, Helwan University, Egypt.
3
Assistant Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing, Assiut University, Egypt.
4
Assistant Professor of Obstetrics &Gynecology, Faculty of Nursing, Port said University, Egypt.
5
Lecturer of Obstetrics &Gynecology, Faculty of Nursing, Port said University, Egypt.
Abstract
Background: Multimodal approach application is an inter-disciplinary use of more than line of treatment. Oral fluids and food are traditionally introduced slowly after cesarean section (CS). Postoperative cesarean section (PCS) complications are broadly defined as a temporary impairment of gastrointestinal (GI) motility; it leads to patient discomfort, decreases mobility, and prolongs convalescence and hospital stay.
Aim of the study: Was to examine the effect of multimodal approach application on the expected clinical outcomes of PCS for primiparous women. Design: Quasi-experimental design was used in this study. Setting: The study was conducted at the Obstetrics and Gynecology Department and the Operative Room in Kafrelsheikh General Hospital, Egypt. Tools: Three tools were used: Tool I; Structured interview schedule; Tool II; post-CS Analogue scale; Tool III; Clinical outcomes assessment record; Sample: A convenience sample of 80 female patients undergoing elective CS divided equally into two groups (control group and study group) was assigned to a multimodal approach. Results: There were statistically significant differences according to clinical outcomes for study and control group while the lowest p-value was (0.002) of first meal ingestion and mean value was (1.5) of first meal ingestion for the study group with SD (0.8) and mean value was (2.2) of first meal ingestion for the control group with SD (1.1). There were statistically significant differences according to time of first hydration/ hrs for study and control group consisted of (2 hrs, 4 hrs, 6 hrs and more ), p-value was less than 0.001, and " mean time of first hydration/ hrs " for the study group was (2.3) with SD (1.0) versus (5.8) with SD (1.8) for the control group . Added that, there were statistically significant differences regarding "Mean of length of hospital stay " for study and control group since the P value was (0.007). Mean value for the study group was (2.6) with SD (0.9) while mean value of the control group was (3.1) with SD (0.7). Conclusion: The present study concluded that early feeding; hydration, analgesia, and mobilization after CS improve nausea, vomiting, and the length of hospital stay, as well as promote wound healing. Recommendation: This study recommended that a multimodal approach should be applied to women post-CS to improve their clinical outcomes.
Keywords
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