Influence of Physical Therapy Procedures on Postoperative Recovery after Cesarean Section

Cilj: Prikazati koji su najučestaliji uzroci koji dovode do carskog reza. Ispitati utjecaj bavljenja tjelesnom aktivnošću prije i za vrijeme trudnoće na poslijeoperativni oporavak. Ispitati utjecaj provedene fizikalne terapije na smanjenje boli prilikom ustajanja, hodanja i sjedenja. Metode: Istraživanje za završni rad provedeno je anketom koja sadržava 23 pitanja. Anketu je u cijelosti ispunilo 52 ispitanice. Kriterij za rješavanje ankete je rodilja s carskim rezom. U svrhu prevencije komplikacije carskog reza postoperativno su provođene vježbe disanja, cirkulacijske vježbe, pravilno pozicioniranje u krevetu i edukacija o okretanju i ustajanju te vježbe za mišiće zdjeličnog dna i abdominalne muskulature. Cilj provedenih vježbi je prevencija i ublažavanje respiratornih i cirkulacijskih poremećaja. Rezultati: Puerpere koje su vježbale prije i za vrijeme trudnoće imaju smanjene komplikacije carskog reza i fizikalna terapija je pozitivno utjecala na smanjenje bolnosti pri okretanju, ustajanju i hodanju. Puerpere koje su prvi put ustale s fizioterapeutom u jedinici Intenzivne njege imaju smanjenu razinu boli poslije fizioterapeutskog tretmana. Zaključak: Fizikalna terapija pozitivno utječe na poslijeoperativni oporavak kod perpera s carskim rezom. Od 44 rodilje 31 se osjećaju bolje poslije provedene fizikalne terapije te im je smanjena bolnost prilikom ustajanja hodanja i sjedenja. Smanjenje problema s mokrenjem poslije provedeni vježbi od 8 ima 7 rodilja.Goal of this paper is: To determine affectivnes of physical theraphy on recovery of women, puerpuera who had C – section. To show most common cause who lead to perfom C – section. To question impact that phyical exercise has on puerpueras recovery based on activity before and after surgery. To question all effects that physical theraphy had on reducing pain, and reliefd walking and sitting process. Methods: Research for final paper has been survey conducted, havin 23 question that needed to be answered. Survey has been answered by 52 women. Kriterion for survey resolution was that a women had to be pacient with C – section. ( The purpose was prevention of C- section complications, postoperative exercise including breathing exercises, circulation exercises, proper bed positioning and education how to properly move and turn while in bed, so as exercise for abdominal and pelvic muscles. The purpose of those exercises was prevention and reduction of respiratory and cirulation disorders). Results: Results of survey that has been made showed that most of the puerpure who had been exercising with therapist before, and during the pregnancy had less complications after C- section and therapy had positive effect on their rotation in bed, had reduced pain level and they had less trouble of getting up and walking. Puerpere who got up with therapist for the first time, in the Intensive care unit had reduced pain after operation. Conclusion: From my research, it was obvious that effects of phyisical theraphy performed with women who had C – section are noumerous. It affects easier, quicker and less painfull recovery at puerpuera. Statisticly, 31 from 44 pacients felt much better and stronger after physical theraphy, mostly they showd signs of reduced pain while walking. Also, it is significant to mention that 7 from 8 pacients had less urinary problem after the treatment with theraphis