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All Journal Jurnal EduHealth
Witri Hastuti
Universitas Karyahusada Semarang
Health Professions Public Health Veterinary

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Implementation of Early Mobilization to Overcome the Problem of Physical Mobility Disorders in Mothers After Caesarean Section at K.R.M.T Wongsonegoro Hospital, Semarang Aditya Rizqi Surya Pratama; Witri Hastuti
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

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Abstract

Early mobilization is a critical postoperative intervention to accelerate recovery and prevent complications in mothers who undergo cesarean section. This study aims to describe the implementation of early mobilization and its effects on improving physical mobility among post– cesarean section patients at RSD K.R.M.T Wongsonegoro Semarang. Using a descriptive case study design, two patients who met the inclusion criteria were observed during the early postoperative phase. Data were obtained through direct observation and nursing documentation, focusing on mobility performance before and after the intervention. Early mobilization consisted of Range of Motion (ROM) exercises performed for 10–15 minutes over two consecutive days. The results showed that both patients experienced improvements in ease of movement and walking ability. The first patient, initially requiring total assistance, progressed to moving and ambulating with minimal assistance using supportive devices. The second patient, who initially demonstrated minimal mobility with dependency, improved to performing movements and walking with reduced assistance and without devices. These findings indicate that early mobilization effectively enhances muscle strength, blood circulation, and functional independence while reducing postoperative discomfort and fear of movement. Factors such as motivation, pain tolerance, and family support also influenced the level of progress achieved by each patient. Overall, early mobilization contributed positively to postoperative rehabilitation and supported a faster return to functional mobility. The study highlights the importance of integrating structured early mobilization into nursing care to optimize physical recovery and improve the overall quality of life for post–cesarean section mothers.
Application of Oketani Massage to Increase Breast Milk Production in Postpartum Mothers After Caesarean Section at dr. Adhyatma, MPH Regional General Hospital, Central Java Province Ida Novi Fitriyani; Witri Hastuti
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

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Postpartum mothers who undergo Caesarean section often experience delayed lactation, leading to insufficient breast milk production. This case study aims to describe the application of Oketani massage as a complementary therapy to enhance breast milk production in postpartum Caesarean section mothers at RSUD Dr. Adhyatma, MPH, Central Java Province. A descriptive case study design was employed involving three clients who met the inclusion criteria. Oketani massage was provided twice daily for 15 minutes over three consecutive days. Data were collected through assessment, interviews, observation, and documentation, and were analyzed based on changes in breastfeeding frequency, expressed breast milk volume, infant urination and defecation frequency, and LATCH scores before and after the intervention. The results showed improvements in breast milk production, breastfeeding frequency, infant elimination patterns, and LATCH scores in all clients. Outcome variations were influenced by maternal age, nutritional intake, and education level. These findings indicate that Oketani massage is a beneficial non-pharmacological intervention to support lactation among postpartum Caesarean section mothers and may be integrated into maternal nursing care to promote breastfeeding success.
Co-Authors Aditya Rizqi Surya Pratama Ida Novi Fitriyani