{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:58:40Z","timestamp":1776686320208,"version":"3.51.2"},"reference-count":19,"publisher":"FapUNIFESP (SciELO)","issue":"2","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The aim of this study was to determine the effect of a targeted mobilization program applied after cesarean surgery on postoperative recovery outcomes.  METHODS: A randomized controlled trial was conducted with 64 women undergoing elective cesarean section at a training and research hospital in Central Anatolia, Turkey. Participants were randomly assigned to an experimental group (n=32) or a control group (n=32). All women received routine care, while the experimental group additionally received structured mobilization training beginning 6 h postoperatively and continuing for 48 h. Data were collected using the Preliminary Assessment Form, Personal Information Form, Gastrointestinal Function Form, Abdominal Distension Diagnosis Form, Walking Schedule Form, Visual Analog Scale, and Latch, Audible swallowing, Type of nipple, Comfort, and Hold Breastfeeding Diagnosis and Assessment Scale.  RESULTS: Women in the experimental group demonstrated significantly faster gastrointestinal recovery, with shorter times to first gas expulsion and first defecation. Abdominal distension scores at 12, 24, and 48 h postoperatively were consistently lower in the experimental group. Pain scores were also significantly reduced at 24 and 48 h. In addition, the experimental group showed a shorter milk let-down time and higher Latch, Audible swallowing, Type of nipple, Comfort, and Hold breastfeeding scores, indicating better early breastfeeding performance. These differences represent clinically meaningful improvements across multiple recovery indicators.  CONCLUSION: The targeted mobilization program applied after cesarean surgery enhanced overall postoperative recovery by accelerating bowel function, reducing abdominal distension and pain, and improving breastfeeding outcomes. These findings support the integration of structured mobilization strategies into routine post-cesarean care.<\/jats:p>","DOI":"10.1590\/1806-9282.20251440","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:10:36Z","timestamp":1776683436000},"source":"Crossref","is-referenced-by-count":0,"title":["The effect of a targeted mobilization program applied after cesarean surgery on care outcomes: a randomized controlled study"],"prefix":"10.1590","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4239-1295","authenticated-orcid":false,"given":"Birnur","family":"Yesildag","sequence":"first","affiliation":[{"name":"Ni\u011fde \u00d6mer Halisdemir University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7447-3148","authenticated-orcid":false,"given":"Kadriye Aldemir","family":"Atmaca","sequence":"additional","affiliation":[{"name":"Sivas Cumhuriyet University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5342-8113","authenticated-orcid":false,"given":"Isa","family":"Temur","sequence":"additional","affiliation":[{"name":"Nigde Omer Halisdemir University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"3","key":"ref1","first-page":"17","article-title":"The effect of kinesio taping and ERAS applications on bowel movements after cesarean","volume":"31","author":"Terzio\u011flu F","year":"2021","journal-title":"Health Soc"},{"issue":"2","key":"ref2","first-page":"41","article-title":"Early and targeted mobilization after surgical interventions","volume":"7","author":"K\u0131rt\u0131l \u0130","year":"2023","journal-title":"B Med J"},{"key":"ref3","first-page":"11938","article-title":"Effectiveness of early ambulation on post-operative recovery among caesarean mothers","volume":"12","author":"Singh S","year":"2020","journal-title":"Int J Curr Res"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1055\/s-0043-1761212","article-title":"Effectiveness of planned early ambulation on postoperative recovery among cesarean mothers: a quasi-experimental study in Mangaluru","volume":"13","author":"Alphones CK","year":"2023","journal-title":"J Health Allied Sci"},{"key":"ref5","first-page":"3","article-title":"Effectiveness of early ambulation on post-operative recovery among primiparous post-cesarean mothers: a randomized control trial","volume":"8","author":"Barai D","year":"2019","journal-title":"Int J Sci Res"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"214","DOI":"10.5152\/eurasianjmed.2019.18457","article-title":"Influence of abdominal binder usage after cesarean delivery on postoperative mobilization, pain and distress: a randomized controlled trial","volume":"51","author":"Karaca I","year":"2019","journal-title":"Eurasian J Med"},{"issue":"4","key":"ref7","first-page":"1562","article-title":"Comparison of four different pain scales in the evaluation of postoperative acute pain intensity","volume":"45","author":"Gurkan A","year":"2020","journal-title":"Cukurova Med J"},{"issue":"1","key":"ref8","first-page":"38","article-title":"A study examining the reliability of the LATCH breastfeeding diagnostic tool","volume":"5","author":"Yenal K","year":"2003","journal-title":"J Res Dev Nurs"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1111\/wvn.12125","article-title":"The effect of gum chewing, early oral hydration, and early mobilization on intestinal motility after cesarean birth","volume":"12","author":"Sahin E","year":"2015","journal-title":"Worldviews Evid Based Nurs"},{"key":"ref10","first-page":"932","article-title":"Effect of three different nursing interventions on intestinal motility and women\u2019s satisfaction post-cesarean section birth","volume":"7","author":"Hassan EH","year":"2019","journal-title":"Am J Nurs Res"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"2591","DOI":"10.11124\/JBISRIR-D-19-00063","article-title":"Early postoperative mobilization in patients undergoing abdominal surgery: a best practice implementation project","volume":"17","author":"Hu Y","year":"2019","journal-title":"JBI Database System Rev Implement Rep"},{"issue":"9","key":"ref12","doi-asserted-by":"crossref","first-page":"151","DOI":"10.28982\/josam.7832","article-title":"The effect of early mobilization on constipation after abdominal surgery: a systematic review","volume":"8","author":"\u00d6zta\u015f \u0130","year":"2024","journal-title":"J Surg Med"},{"key":"ref13","first-page":"41","article-title":"Effect of planned early recommended ambulation technique on selected post caesarean biophysiological health parameters","volume":"3","author":"Dube JV","year":"2014","journal-title":"J Krishna Inst Med Sci Univ"},{"issue":"2","key":"ref14","first-page":"380","article-title":"Problems of breastfeeding initiation after cesarean delivery","volume":"7","author":"Akkus H","year":"2023","journal-title":"J Adnan Menderes Univ Health Sci Fac"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"103117","DOI":"10.1016\/j.midw.2021.103117","article-title":"Breastfeeding after a cesarean section: a literature review","volume":"103","author":"Li L","year":"2021","journal-title":"Midwifery"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"140","DOI":"10.4082\/kjfm.19.0178","article-title":"Factors associated with early breastfeeding initiation among women who underwent cesarean delivery at tertiary hospitals in Kelantan, Malaysia","volume":"42","author":"Johar N","year":"2021","journal-title":"Korean J Fam Med"},{"issue":"9","key":"ref17","doi-asserted-by":"crossref","first-page":"931","DOI":"10.26719\/emhj.21.027","article-title":"Associations between caesarean births and breastfeeding in the Middle East: a scoping review","volume":"27","author":"Sodeno M","year":"2021","journal-title":"East Mediterr Health J"},{"issue":"3","key":"ref18","first-page":"302","article-title":"Delivery mode and breastfeeding: systematic review","volume":"3","author":"Ak\u0131n \u00d6","year":"2020","journal-title":"Ordu Univ J Nurs Stud"},{"issue":"1","key":"ref19","doi-asserted-by":"crossref","first-page":"60","DOI":"10.5152\/ArcHealthSciRes.2020.540476","article-title":"Effects of delivery method on breastfeeding success in primiparous mothers","volume":"7","author":"Turan A","year":"2020","journal-title":"Arch Health Sci Res"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica 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