Severity and Contributing Factors of Abdominal Distension After Cesarean Section in Women

Öz

Purpose: This study was conducted to determine the severity of abdominal distension (AD) after cesarean section in women and the factors affecting it. Material and Methods: This cross-sectional study was conducted between January and June 2025 with 176 women who underwent cesarean section in Turkey. Data were collected using the “Personal Information Form”, “Postoperative Information Form” and “Visual Analog Scale (VAS)”. Descriptive statistics, t-test, ANOVA test and multiple regression analysis were used to analyze the data. Results: The mean duration of first gas output, AD and VAS severity of the participants after cesarean section were 16.0±6.65 hours, 4.67±0.90 and 4.42±0.87, respectively. According to multiple regression analysis, it was found that hemorrhoids, pain and coffee consumption increased AD severity by 1.114, 0.265 and 0.558 unit points, respectively, and defecation once a day and 2-4 times a week in the last month of pregnancy decreased it by 0.749 and 0.777, respectively. Conclusion: It is recommended that women should be provided with education and counseling to prevent the risk factors that increase the severity of AD starting from the gestational period, awareness of healthcare professionals should be increased in this regard, and patients should be closely monitored for distension after cesarean section. Keywords: Abdominal distension; cesarean section; pain; postoperative care; postoperative complications .

Anahtar Kelimeler

• abdominal distension;
• cesarean section;
• pain;
• postoperative care;
• postoperative complications

Sezaryen Sonrası Kadınlarda Abdominal Distansiyonun Şiddeti ve İlişkili Faktörler

Öz

Amaç: Bu çalışma, sezaryen sonrası kadınlarda algılanan abdominal distansiyon şiddetini tanımlamak ve bununla ilişkili faktörleri incelemek amacıyla yapılmıştır. Gereç ve Yöntem: Bu kesitsel çalışma, Ocak–Haziran 2025 tarihleri arasında Türkiye’de sezaryen ile doğum yapan 176 kadın ile gerçekleştirilmiştir. Veriler, Kişisel Bilgi Formu, Postoperatif Bilgi Formu ve Görsel Analog Skala (VAS) kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ile birlikte t-testi, tek yönlü varyans analizi (ANOVA) ve çoklu doğrusal regresyon analizi kullanılmıştır. Bulgular: Sezaryen sonrası katılımcıların ilk gaz çıkarma süresi, abdominal distansiyon (AD) şiddeti ve VAS puanı ortalamaları sırasıyla 16,0±6,65 saat, 4,67±0,90 ve 4,42±0,87 olarak bulunmuştur. Çoklu regresyon analizine göre, hemoroid varlığı, ağrı düzeyi ve kahve tüketiminin AD şiddeti ile pozitif yönde ilişkili olduğu; günlük bir kez ve haftada 2–4 kez dışkılama sıklığının ise AD şiddeti ile negatif yönde ilişkili olduğu belirlenmiştir. Sonuç: Abdominal distansiyon (AD) şiddetini artıran risk faktörlerinin önlenmesine yönelik olarak, gebelik döneminden itibaren kadınlara eğitim ve danışmanlık verilmesi, bu konuda sağlık profesyonellerinin farkındalığının artırılması ve sezaryen sonrası dönemde hastaların distansiyon açısından yakından izlenmesi önerilmektedir. Anahtar kelimeler: Abdominal distansiyon, sezaryen, ağrı, postoperatif bakım, postoperatif komplikasyonlar

Anahtar Kelimeler

• Abdominal distansiyon
• sezaryen
• ağrı
• postoperatif bakım
• postoperatif komplikasyonlar

Kaynakça

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