Description of Early Mobilization in Post-Caesarean Section Patients with The Enhanced Recovery After Caesarean Surgery Program in The Recovery Room

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Published Apr 17, 2026
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Vol. 1 No. 1 (2026): January-April

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Luh Putu Anggia Parameswari
Anasthesiology Diploma, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia
Ni Luh Putu Inca Buntari Agustini
Master of Nursing, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia
I Nyoman Arya Maha Putra
Master of Nursing, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia
Komang Ardidhana Nugraha Putra
Anasthesiology Diploma, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia

Abstract

Background: Early mobilization is an essential component of postoperative care in patients undergoing caesarean section, particularly within the Enhanced Recovery After Caesarean Surgery (ERACS) program, to accelerate recovery and reduce complications. This study aimed to describe the implementation of early mobilization in post-caesarean section patients within the ERACS program in the recovery room.


Methods: This study employed a quantitative descriptive design with a cross-sectional approach. A total of 100 respondents were selected using a total sampling technique. Data were collected using observation sheets to assess respondents’ characteristics, lower extremity muscle strength, and the time required to achieve early mobilization. Data analysis was conducted using univariate analysis and presented as frequency distributions and percentages.


Result: The results showed that most respondents were aged 20–30 years (51%), had a high school education (32%), were working (59%), and were multiparous (69%) with no previous history of caesarean section (54%). All respondents (100%) demonstrated normal lower extremity muscle strength (score 5). Early mobilization was initiated as early as the 5th minute, starting with toe movement (72%), followed by sole movement at the 10th minute (60%), ankle movement at the 15th minute (57%), knee movement at the 20th minute (56%), and thigh and hip movement at the 30th minute (55%). Position changes were generally achieved after more than 30 minutes (46%).


Conclusion: In conclusion, early mobilization in post-caesarean section patients within the ERACS program can be implemented early and progressively according to patients’ physical readiness. The ERACS program supports optimal recovery and helps prevent complications associated with prolonged immobilization.

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