in female following cesarean section.
Study Design: Experimental, Randomized controlled study design.
Place and Duration of Study: The study was conducted in Gynecology and Physiotherapy department of
st st Pakistan Railway Hospital, Rawalpindi from 01 February 2017 to 31 March 2017.
Materials and Methods: Twenty women who had undergone caesarian section after spinal or epidural
anesthesia were included in the study with informed consent. Patients having multiple births, patients with
controlled anesthesia, with general anesthesia, operative complications and fetal abnormalities were
excluded. Subjects were randomly allocated in two groups; one receiving post-natal exercise plan and the other
receiving routine nursing care. Intervention included Deep breathing exercise, Inter-digital technique,
Coughing technique, Ankle pumps, Leg sliding, Pelvic rolling, Abdominal wall setting exercise and Postural
education. Exercises were repeated twice a day for three days post cesarean section. Patients were evaluated
st nd for general pain intensity, difficulty in functional activities, time of ambulation and analgesic intake on 1 and 2
post-operative day. Results were analyzed on IBM SPSS 20 using independent t test.
Results: Mean age of interventional group (n= 10) was 28.10 ± SD 5.30 and 29.60 ± SD 2.54 years for the control
st group (n = 10). P value for pain was found non - significant (p = 0.152) on 1 post-operative day but showed a
nd significant difference (p = 0.020) on 2 post-operative day indicating better outcomes for exercise group.
Significant p values were observed in exercise group for difficulty in performing activities like turning in bed (p =
0.001), sitting (p = 0.008), standing (p < 0.001) and walking (p < 0.001).
Conclusion: Post Natal exercises improve mobility and reduce pain in females who had undergone caesarian
section after spinal or epidural anesthesia.
Key words: Caesarean Deliveries, Functional Activities, Physiotherapy.