Effects of a Postpartum Recovery Program among Women Receiving Spinal Block and General Anesthesia in the Special Ward “Namchok”, Nakhon Phanom Hospital

Abstract

Objective: The study aims to evaluate the effects of a postpartum recovery program for women who underwent cesarean section under spinal block or general anesthesia in the Special Ward “Namchok”, Nakhon Phanom Hospital.

Methods: This research study is a quasi-experimental. Quasi-Experimental research two-group independent pre-test/post-test design. The sample group was a woman after a cesarean section who admitted to the special ward of Namchok Nakhon Phanom Hospital between September 2025 and December 2025. Using purposive sampling of 15 people per group with a total sample of 30 people collected using the postpartum recovery program among women receiving spinal block and general anesthesia, headache assessment, Sore throat assessment, hoarseness, and maternal satisfaction questionnaire. Using descriptive statistics by frequency and percentage, comparing before and after using program and the paired t-tests statistical, the p-values < 0.05).

Results: A postpartum recovery program among women receiving spinal block developed found that 1) the incidence and severity of headaches, the level of  mild severity, and the headaches score before starting the program, the level of mild severity score before starting the postpartum recovery program (pre-test). The average numeric rating scale was 6.80 (S.D 1.08) 24 hours after delivery, and the average headache score decreased to 2.60 (S.D 0.98) when comparing headaches in the first 6 hours and 24 hours after delivery. There was a statistically significant difference (t=3.67, p<0.003) and when comparing sore throat symptoms in the first 6 hours and 24 hours after birth, there was a statistically significant difference (t=3.67, p<0.003) 2) when comparing hoarseness in the first 6 hours and 24 hours after birth, there was a statistically significant difference (t=4.58, p<0.001) 3) Satisfaction with the a Postpartum Recovery Program was found to be very good overall.

Conclusion: The postpartum recovery programs for women undergoing caesarean section under either spinal block or general anesthesia are implemented to rapid postpartum recovery and early resumption of infant care. However, further investigation maybe needed to evaluate additional postoperative complications and to optimize recovery outcomes.