EARLY MOBILISATION EDUCATION AND ASSISTANCE FOR POSTPARTUM MOTHERS TO PREVENT POSTPARTUM COMPLICATIONS

Abstract

Introduction:

Maternal mortality remains a serious public health concern in Indonesia, with the postpartum period presenting high risks for complications including thromboembolism, uterine atony, and wound infection. Early mobilization is an evidence-based intervention supporting postpartum recovery, yet its implementation in Batam City remains suboptimal. This activity aimed to improve postpartum mothers' knowledge, skills, and compliance with early mobilization through structured education and direct mentoring within the Puskesmas Botania working area.

Methods:

Thirty postpartum mothers (18 vaginal deliveries, 12 cesarean sections) participated in activities conducted from January to February 2025. Interventions included education using leaflets, videos, and modules, followed by mobilization technique demonstrations, return demonstrations, and family-involved mentoring. Evaluation used pre- and post-knowledge tests alongside mobilization practice observation sheets. 

Results:

Knowledge scores increased significantly from 52.3 to 84.7 (Δ = 32.4; p < 0.05). In the vaginal delivery group, mobilization compliance within the first 6 hours rose from 33.3% to 94.4%. In the cesarean section group, compliance at 6–8 hours postoperatively improved from 25.0% to 83.3%, with log rolling technique mastery reaching 100%. No complications were identified throughout the monitoring period. 

Conclusion

The puskesmas-based early mobilization education and mentoring program effectively enhanced postpartum mothers' knowledge, skills, and compliance across all delivery types. A multimodal approach integrating education, demonstration, family involvement, and local cultural adaptation is recommended for routine integration into primary-level postpartum care services.