Effectiveness of Early Ambulation in Reducing Postoperative Complications Among Post-Cesarean Section Mothers: A Randomized Controlled Trial

This randomized controlled trial aims to assess the effectiveness of early ambulation in reducing postoperative complications among post cesarean section mothers. Participants who meet the inclusion criteria will be randomly allocated to two groups using day wise block randomization. The intervention group will receive structured early ambulation beginning 8 to 10 hours after surgery, while the control group will receive routine postoperative care. The early ambulation protocol includes deep breathing exercises, limb movements, position changes in bed, assisted sitting and walking, and daily step count monitoring using a pedometer. Outcomes such as pain, uterine involution, wound healing, headache, psychological wellbeing, and physical activity will be assessed using validated tools like the Numerical Pain Rating Scale, Obstetric Quality of Recovery Score Hindi version, Edinburg Postnatal Depression Scale Hindi, GAD 7 Hindi, Southampton Wound Assessment Scale, and Homan’s sign. The study will be conducted at a tertiary care institute in India and will follow ethical guidelines. The findings are expected to provide evidence for integrating early ambulation into routine post cesarean care to improve recovery and reduce complications.