Postoperative Care for Caesarean Patients with Anemia: Case Study at Kardinah Hospital Tegal

Main Article Content

Mariska Nurlatifah
Ema Wahyu Ningrum

Abstract

C aesarean section (CS) and experiencing preeclampsia and mild anemia, showing unstable vital signs and low haemoglobin levels (9.8 g/dL). After implementing nursing interventions over three days, including non-pharmacological techniques to reduce pain and increase breast milk production, this case report describes the nursing care provided to Mrs. B, a 32-year-old patient admitted to the Mawar Antenatal Ward at Kardinah Hospital in Tegal. She experienced a significant reduction in pain and improved mobility. The average pain level using the Numeric Rating Scale (NRS) decreased from 7.0 on the first day to 5.5 on the second day, with 60% of patients still reporting bothersome pain. These results indicate that comprehensive pain management and anemia management are crucial for improving the quality of recovery in patients following a caesarean section. The descriptive case study method included physical assessment, laboratory data, and medical records. Nursing diagnoses: acute pain, ineffective breastfeeding, and impaired physical mobility.

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How to Cite
Nurlatifah, M., & Ningrum, E. W. (2025). Postoperative Care for Caesarean Patients with Anemia: Case Study at Kardinah Hospital Tegal. Buletin Ilmu Kebidanan Dan Keperawatan, 4(02), 104–110. https://doi.org/10.56741/bikk.v4i02.1296
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Articles
Author Biographies

Mariska Nurlatifah, Harapan Bangsa University

Mariska Nurlatifah is affiliated with Harapan Bangsa University, Jl. Raden Patah No. 100, Ledug, Kec. Kembaran, Banyumas Regency, Central Java, Indonesia (email: mariskanurlatifah68@gmail.com).

Ema Wahyu Ningrum, Universitas Harapan Bangsa

Ema Wahyu Ningrum is an education scientist and senior lecturer at Harapan Bangsa University, Jl. Raden Patah No. 100, Ledug, Kec. Kembaran, Banyumas Regency, Central Java, Indonesia.

Received 2025-07-25
Accepted 2025-08-22
Published 2025-08-31

Plaudit

References

D. Singh and L. Kaur, "When a caesarean section scar is more than an innocent bystander in a subsequent pregnancy: Ultrasound to the rescue," J. Clin. Ultrasound, vol. 45, pp. 319–327, 2017, doi: 10.1002/jcu.22485. DOI: https://doi.org/10.1002/jcu.22485

N. Singh, Y. Pradeep, and S. Jauhari, "Indications and determinants of caesarean section: A cross-sectional study," Int. J. Appl. Basic Med. Res., vol. 10, no. 4, pp. 280–285, Oct.–Dec. 2020, doi: 10.4103/ijabmr.IJABMR_3_20. DOI: https://doi.org/10.4103/ijabmr.IJABMR_3_20

A. Munro, R. B. George, J. Chorney, E. Snelgrove-Clarke, and N. O. Rosen, "Prevalence and predictors of chronic pain in pregnancy and postpartum," J. Obstet. Gynaecol. Can., vol. 39, no. 9, pp. 734–741, 2017. DOI: https://doi.org/10.1016/j.jogc.2017.01.026

N. P. Julianthi, G. A. Marhaeni, and M. Dwi, "Rumah Sakit Umum Pusat Sanglah Denpasar Tahun 2020," Jurnal ..., vol. 9, no. 1, pp. 19–27, 2020. [Eng. Trans.: Sanglah General Hospital Denpasar Year 2020]

Y. S. Gutierrez-Prieto, M. T. Cabanillas-Chavez, and W. C. Morales Garcia, "Nursing care in post caesarean section due to preeclampsia," SCT Proc. Interdiscip. Insights Innov., vol. 2, p. 200, Apr. 2024. DOI: https://doi.org/10.56294/piii2024200

V. Neef, S. Choorapoikayil, L. Hof, P. Meybohm, and K. Zacharowski, "Current concepts in postpartum anemia management," Curr. Opin. Anaesthesiol., vol. 37, no. 3, pp. 234–238, Jun. 2024. DOI: https://doi.org/10.1097/ACO.0000000000001338

World Health Organization, Guidelines on Prevention of Anemia in Pregnancy and Postpartum. Geneva, Switzerland: WHO Press, 2016.

W. Lasaha, W. Astuti, A. Mutmainna, and J. Kasim, "Hubungan anemia dengan kejadian pendarahan pada ibu postpartum," JIMPK: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, vol. 2, no. 1, pp. 132–140, 2022, doi: 10.35892/jimpk.v2i1.742. [Eng. Trans.: The relationship between anemia and postpartum hemorrhage in mothers]

N. P. Julianthi, G. A. Marhaeni, and M. Dwi, "Rumah Sakit Umum Pusat Sanglah Denpasar Tahun 2020," Jurnal ..., vol. 9, no. 1, pp. 19–27, 2020. [Eng. Trans.: Sanglah General Hospital Denpasar Year 2020] DOI: https://doi.org/10.33992/jik.v9i2.1443

A. P. Betrán, J. Ye, A.-B. Moller, J. Zhang, A. M. Gülmezoglu, and M. R. Torloni, "The increasing trend in caesarean section rates: Global, regional and national estimates: 1990–2014," PLoS One, vol. 11, no. 2, p. e0148343, 2016. DOI: https://doi.org/10.1371/journal.pone.0148343

A. Mulahera, M. H. Rusli, and N. Sobah, "Karakteristik dan pola pengobatan analgesik pada pasien post sectio caesarea di Rumah Sakit X Samarinda," J. Mandala Pharmacon Indonesia (JMPI), vol. 10, no. 1, pp. 123–129, 2024. [Eng. Trans.: Characteristics and analgesic treatment patterns in post-caesarean section patients at Hospital X Samarinda] DOI: https://doi.org/10.35311/jmpi.v10i1.532

A. Jafarzade et al., "Anemia levels in the preconception period and the first trimester of pregnancy: A national, multicentric and cross-sectional study," Rev. Bras. Ginecol. Obstet., Feb. 2025, doi: 10.61622/rbgo/2025rbgo10001. DOI: https://doi.org/10.61622/rbgo/2025rbgo10001

J. Y. Park and S. W. Lee, "A history of repetitive caesarean section is a risk factor of anemia in healthy perimenopausal women: The Korea National Health and Nutrition Examination Survey 2010–2012," PLoS One, vol. 12, no. 11, p. e0188903, Nov. 2017, doi: 10.1371/journal.pone.0188903. DOI: https://doi.org/10.1371/journal.pone.0188903

C. U. Loechl et al., "Approaches to address the anemia challenge," J. Nutr., vol. 153, no. 1, pp. S42–S59, 2023, doi: 10.1016/j.tjnut.2023.07.017. DOI: https://doi.org/10.1016/j.tjnut.2023.07.017

M. Wagner, Postpartum: Nursing Diagnoses and Care Plans. Nurse Together, 2023.

K. Salvador and M. Wagner, C-Section: Nursing Diagnoses Care Plans, Assessment and Interventions. Nurse Together, 2023.

Y. Y. Gela et al., "Prevalence of anemia and associated factors among adult hypertensive patients in referral hospitals, Amhara Regional State," Sci. Rep., vol. 13, no. 1, p. 14329, Aug. 2023, doi: 10.1038/s41598-023-41553-z. DOI: https://doi.org/10.1038/s41598-023-41553-z

A. A. M. Hezam, H. B. M. Shaghdar, and L. Chen, "The connection between hypertension and diabetes and their role in heart and kidney disease development," J. Res. Med. Sci., vol. 29, p. 22, Apr. 2024, doi: 10.4103/jrms.jrms_470_23. DOI: https://doi.org/10.4103/jrms.jrms_470_23

K. Rani, V. Zutshi, M. Pathel, and S. Marwah, "Analgesic efficacy of intravenous paracetamol versus intravenous tramadol after caesarean section: A single blind randomized controlled study," Int. J. Reprod. Contracept. Obstet. Gynecol., vol. 5, no. 12, pp. 4285–4289, 2016, doi: 10.18203/2320-1770.ijrcog20164329. DOI: https://doi.org/10.18203/2320-1770.ijrcog20164329

W. A. Mihatsch et al., "Prevention of vitamin K deficiency bleeding in newborn infants: A position paper by the ESPGHAN Committee on Nutrition," J. Pediatr. Gastroenterol. Nutr., vol. 63, no. 1, pp. 123–129, Jul. 2016, doi: 10.1097/MPG.0000000000001232. DOI: https://doi.org/10.1097/MPG.0000000000001232