Application of kegel exercises to reduce acute perineal pain and promote wound healing in normal postpartum women: A Case Study
DOI:
https://doi.org/10.61099/junedik.v3i3.163Keywords:
Acute pain, Kegel exercise, Perineal wound, Postpartum care, Pelvic floor muscle trainingAbstract
Introduction: Perineal trauma following normal vaginal delivery is highly prevalent and frequently results in acute perineal pain, restricted mobility, and delayed wound healing during the early postpartum period. Inadequate pain management may negatively affect maternal comfort, functional recovery, and overall well-being. While pharmacological therapy is commonly used, non-pharmacological nursing interventions that are safe, cost-effective, and easily implemented remain underutilized. Kegel exercises, a form of pelvic floor muscle training, have been suggested to improve circulation, reduce pain, and support perineal wound healing; however, evidence from case-based clinical practice remains limited. This study aimed to explore the application of Kegel exercises as a nursing intervention to reduce acute perineal pain and promote wound healing in a woman following normal postpartum delivery.
Methods: A descriptive qualitative case study design was employed. The participant was a postpartum woman with perineal rupture and acute pain admitted to the Nuri Postpartum Ward of Bhayangkara Hospital, Makassar, Indonesia. Kegel exercises were implemented over three consecutive days under nursing supervision. Data were collected through interviews, direct observation, and daily pain assessment using a numeric rating scale. Behavioral indicators of pain, mobility, and wound comfort were also evaluated.
Results: The findings demonstrated a progressive reduction in pain intensity from severe to mild levels over the three-day intervention period. Observable pain behaviors, including grimacing, restlessness, and protective posture, gradually diminished. The patient showed improved mobility, emotional comfort, and increased confidence during movement, accompanied by reduced perineal tenderness.
Conclusion: The application of Kegel exercises was effective in reducing acute perineal pain and supporting early wound healing in normal postpartum women. This intervention may be integrated into routine postpartum nursing care to enhance recovery and maternal well-being.
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Copyright (c) 2025 Tri Damayanty Syamsul, Asma Juita Syam, Ridwan Ridwan, Kasmawati Kasmawati, Sudirman Sudirman
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