THE RELATIONSHIP BETWEEN THE NUTRITIONAL STATUS OF POSTPARTUM WOMEN AND THE WOUND HEALING PROCESS POST SECTIO CAESAREA AT TANJUNG PURA HOSPITAL IN 2024

Revalina Manurung; Rosmani Sinaga; Febriana Sari; Dewi Sartika Hutabarat; Christina Sirait; Putri Latifah; Ernita Agustina

Authors

Revalina Manurung Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rosmani Sinaga
Febriana Sari
Dewi Sartika Hutabarat
Christina Sirait
Putri Latifah
Ernita Agustina

Keywords:

Continuity of Care (CoC), Evidence-Based Midwifery, Maternal and Neonatal Health, Service Excellence, Early Detection of Complications

Abstract

Background: Cesarean delivery is a surgical procedure that carries specific postoperative risks, particularly regarding suboptimal wound recovery. A patient's nutritional health is a critical determinant in this process; insufficient nutrient intake can impede cellular regeneration, suppress immune response, and elevate the likelihood of infection, ultimately extending the recovery period . Objective: This study aimed to evaluate the link between nutritional profiles and surgical wound closure among postpartum patients at Tanjung Pura Langkat Hospital in 2023. Methods: Employing an analytical survey with a cross-sectional design, the research involved 30 subjects selected via purposive sampling. Nutritional status was evaluated using mid-upper arm circumference (MUAC), while the REEDA scale served as the assessment tool for wound healing. Data were analyzed using the chi-square test (p<0.05). Results: The findings indicated that 66.6% of respondents maintained normal nutrition, whereas 33.3% were identified with Chronic Energy Deficiency (CED). Notably, optimal healing was achieved by all participants with healthy nutritional status, while delayed recovery was prevalent among those with CED. Statistical analysis confirmed a significant correlation (p=0.000). Conclusion: There is a definitive relationship between nutritional status and the healing of post-CS wounds. Consequently, ensuring balanced nutrition is essential for accelerating recovery and improving clinical outcomes

References

Ahmad Dahro. (2020). Psikologi kebidanan: analisis perilaku wanita untuk kesehatan (Vol. 2). Salemba Medika .

Bakhtiar, A., & Ambarwati, W. N. (n.d.). Penerpan Mobilisasi Dini Pada Pasien Post Sectio Caesarea Untuk Mempercepat Pemulihan dan Kualitas Hidup Ibu Post Partum.

Festy, P. (2020). The Relationsip of Nutritional status and perineal.

Festy, P., Wulandari, Y., & Syawaliyah, M. (2021). The Relationship of Nutritional Status and Perineal Wound Healing Among Post-Partum Women.

Frilasari, H., Saudah, N., Prameswari, V. E., Azizah, Y. N., & Suhita, B. M. (2020). Nutritional Pattern And Healing Of Perineum Wound On Postpartum Period. Journal Of Nursing Practice, 3(2), 172–180. https://doi.org/10.30994/jnp.v3i2.85

Ginting, S., Damanik, L., Sembiring, A., & Mitra Husada Medan, Stik. (2020). Hubungan Karakteristik Ibu Dengan Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Sei Bejangkar Kabupaten Batubara Tahun 2020.

Kolantung, P. M., Mayulu, N., Kundre, R., & Studi Ilmu Keperawatan Universitas Sam Ratulangi Manado, P. (2021). Hubungan Tingkat Pengetahuan Ibu Hamil Tentang Tanda Bahaya Kehamilan Dengan Kepatuhan Melakukan ANC : Systematic Review. In Jurnal Keperawatan (Vol. 9, Issue 2).

Mayasari, N., Kusuma, O. I., & Dewi, S. (2023). Literature Study: Correlation Nutrition Status With Wound Healing. Journal of Widya Medika Junior, 5(2). https://doi.org/10.33508/jwmj.v5i2.3684

Miswita Manao + Dewi Sartika. (2024). Pelaksanaan Pendampingan Buku KIA.

Munthe, J., Sari, F., Putri, M., Kader, P. P., Kejadian, M., Pada, K., Hamil, I., Pmb, D., Sembiring, S., Putri, N. M., Nurmawan, S., Sembiring, I. S., Utami, L. P., & Sembiring, M. (2024). p-issn : 2808-6996 Pendampingan Peran Kader dalam Mengurangi Kejadian Kek Pada Ibu Hamil di PMB Sarfina Sembiring. https://doi.org/10.56013/jak.v4i1.2980

RISKESDES. (2021). Laporan tahunan 2021 RISKESDES.

Sulistyani. (2022). Nutritional status and Anemia on wound Healing Process in post cesarean.

Azizah, N. et al. (2025) ‘The Effectiveness of Antenatal Class Education on Improving Maternal Preparedness in Facing Postpartum Hemorrhage’, Open Access Health Scientific Journal, 6(2), pp. 270–275. doi: 10.55700/oahsj.v6i2.105.

Sinaga, S. N. et al. (2022) ‘The Increase of Knowledge, Attitude, and Practice of Husbands toward the Prenatal Care of their Wives Using the Illustrations Having the Local Cultural Nuance’, Open Access Macedonian Journal of Medical Sciences, 10(E), pp. 525–530. doi: 10.3889/oamjms.2022.8092.

Tarigan, E. F., Mahmudiono, T., Puspitasari, N., Paramita, P. P., & Dwijayanti, I. (2024). Determinants of the quality of life of mother with children with disability: A systematic review. In African Journal of Reproductive Health (Vol. 28, Issue 10, pp. 332–347). Women’s Health and Action Research Centre. https://doi.org/10.29063/ajrh2024/v28i10s.36