A SYSTEMATIC REVIEW: MOBILE APPLICATION MONITORING POST OPERATION CAESAREAN SECTION

zahrotul - widad, Ninuk Dian Kurniawati, Kristiawati Kristiawati

Abstract


Introduction: Surgical wound infection (ILO) is a serious complication and can cause significant morbidity, including increasing the risk of readmission and prolonging recovery time.

Objective: To review the effect of mobile apps to improve the quality of post-operative care by reducing the need for physical visits and increasing remote supervision.

Methods: The literature search used 5 databases: Cinahl, Proquest, Pubmed, Scopus, and ScienceDirect in 2017-2024. The articles selected were original research RCT and cohort, English language, containing postoperative sectio caesarea, and using an application. The keywords used were: Telehealth OR Mobile Application OR application OR app AND Wound Monitoring OR wound care AND Cesarean Section OR Cesarean Section. In assessing research bias using the Critical Appraisal Skills Program (CASP) and the Joanna Briggs Institute (JBI) obtained a score of 77-100%.

Results: Surgical wound infection (SSI) is a serious complication that can increase morbidity and prolong recovery time after caesarean. Of the 196 articles that were found, seven met the inclusion criteria and were further analyzed. Results suggest that mobile apps can track wound conditions in real-time, reduce the need for physical visits, and increase patient engagement in the care process. These findings suggest that mobile apps can detect early signs of infection and educate patients, supporting faster and more effective recovery.

Conclusions: The use of mobile apps can reduce financial burden, support home visit integration, reduce economic barriers and improve health outcomes.


Keywords


Mobile application, surgical wound infection, monitoring, postoperative, sectio caesarea

Full Text:

PDF
rticle

References


  1. Semple JL, Armstrong KA. Mobile applications for postoperative monitoring after discharge. Cmaj. 2017;189(1):E22–4.
  2. Pan S, Rong LQ. Mobile applications in clinical and perioperative care for anesthesia: Narrative review. Journal of Medical Internet Research. 2021;23(9):1–14.
  3. Murniati, Zulkarnaini, Juwita Z. Faktor-Faktor Yang Mempengaruhi Terjadinya Infeksi Luka Post Sectio Caesarea. Journal of Nursing and Midwifery. 2020;1:21.
  4. Aulya Y, Novelia S, Isnaeni A. Perbedaan Kejadian Infeksi Luka Operasi Antara Elektif SC Dengan Cito Sc Di Rumah Sakit Harapan Jayakarta Tahun 2019. Journal for Quality in Women’s Health. 2021;4(1):115–22.
  5. Muhumuza I, Lavingia AZ, Tayebwa B, Ahmed AA, Koriow FM, Tetty VO, et al. Post Caesarean Wound sepsis and associated factors among patients attending a rural regional referral hospital in Western Uganda: A cross-sectional study. Research Square. 2020;
  6. Ibrahim K, Rahayuwati L, Herliani YK, Pramukti I. Health Care Needs Among People Living with HIV: The Implication of Continuum of Care. HIV/AIDS - Research and Palliative Care. 2023;15(May):235–46.
  7. Yerba K, Failoc-Rojas V, Zeña-Ñañez S, Valladares-Garrido M. Factors Associated with Surgical Site Infection in Post-Cesarean Section: A Case-Control Study in a Peruvian Hospital. Ethiopian journal of health sciences. 2020;30(1):95–100.
  8. Timmers T, Janssen L, van der Weegen W, Das D, Marijnissen WJ, Hannink G, et al. The effect of an app for day-to-day postoperative care education on patients with total knee replacement: Randomized controlled trial. JMIR mHealth and uHealth. 2019;7(10):1–17.
  9. Ke JXC, George RB, Wozney L, Munro A. Perioperative mobile application for mothers undergoing Cesarean delivery: a prospective cohort study on patient engagement. Canadian Journal of Anesthesia. 2021;68(4):505–13.
  10. Nkurunziza T, Williams W, Kateera F, Riviello R, Niyigena A, Miranda E, et al. mHealth-community health worker telemedicine intervention for surgical site infection diagnosis: a prospective study among women delivering via caesarean section in rural Rwanda. BMJ Global Health. 2022;7(7).
  11. Castillo E, McIsaac C, MacDougall B, Wilson D, Kohr R. Post-Caesarean Section Surgical Site Infection Surveillance Using an Online Database and Mobile Phone Technology. Journal of Obstetrics and Gynaecology Canada. 2017;39(8):645-651.e1.
  12. Santhoshkumari M, Hepsibah Sharmil S. Usability and Quality Evaluation of the “E-Midwife” Mobile Application for Nurse Midwives in Obstetric Complications: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery. 2023;11(4):247–56.
  13. Nicklas JM, Pyle L, Soares A, Leiferman JA, Bull SS, Tong S, et al. The Fit After Baby randomized controlled trial: An mHealth postpartum lifestyle intervention for women with elevated cardiometabolic risk. PLoS ONE. 2024;19(1 January):1–22.
  14. Su Y, Heitner J, Yuan C, Si Y, Wang D, Zhou Z, et al. Effect of a text messaging-based educational intervention on cesarean section rates among pregnant women in China: Quasirandomized controlled trial. JMIR mHealth and uHealth. 2020;8(11):1–12.
  15. Kateera F, Riviello R, Goodman A, Nkurunziza T, Cherian T, Bikorimana L, et al. The Effect and Feasibility of mHealth-Supported Surgical Site Infection Diagnosis by Community Health Workers After Cesarean Section in Rural Rwanda: Randomized Controlled Trial. JMIR mHealth and uHealth. 2022;10(6):1–12.
  16. Nkurunziza T, Williams W, Kateera F, Riviello R, Niyigena A, Miranda E, et al. mHealth-community health worker telemedicine intervention for surgical site infection diagnosis: a prospective study among women delivering via caesarean section in rural Rwanda. BMJ Global Health. 2022;7(7).
  17. Castillo E, McIsaac C, MacDougall B, Wilson D, Kohr R. Post-Caesarean Section Surgical Site Infection Surveillance Using an Online Database and Mobile Phone Technology. Journal of Obstetrics and Gynaecology Canada. 2017;39(8):645-651.e1.
  18. Santhoshkumari M, Hepsibah Sharmil S. Usability and Quality Evaluation of the “E-Midwife” Mobile Application for Nurse Midwives in Obstetric Complications: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery. 2023;11(4):247–56.
  19. Lenet T, McIsaac DI, Hallet JH, Jerath A, Lalu MM, Nicholls SG, et al. Intraoperative Blood Management Strategies for Patients Undergoing Noncardiac Surgery: The Ottawa Intraoperative Transfusion Consensus. JAMA Network Open. 2023;6(12):E2349559.
  20. Hoeter K, Heinrich S, Wollschläger D, Melchior F, Noack A, Tripke V, et al. The Optimal Fluid Strategy Matters in Liver Surgery: A Retrospective Single Centre Analysis of 666 Consecutive Liver Resections. Journal of Clinical Medicine. 2023;12(12).
  21. Irafasha P, Tuyizere M, Mukantwari J, Omondi L. Perioperative Fluid Management for Elective Major Surgery Patients at a Teaching Hospital in Rwanda. Rwanda Journal of Medicine and Health Sciences. 2020;3(1):30–9.
  22. Tu MY, Hong S, Lu J, Liu YH, Deng M. Effect of strict intraoperative blood pressure management strategy on postoperative acute kidney injury in non-cardiac surgery: A meta-analysis of randomised controlled trials. International Journal of Clinical Practice. 2021;75(11):1–8.
  23. Surya R, Manurung ES, Saroyo YB, Irwinda R, Banamtuan RA, Boru CY, et al. Management of Abdominal Wound Dehiscence Following Cesarean Section in District Area of Indonesia: Honey as an Alternative Dressing. Journal of South Asian Federation of Obstetrics and Gynaecology. 2023;15(4):472–4.
  24. Siddiqui M, Zahra SS, Ejaz ST, Sahar B, Eajaz N, Ahmad SR. Comparison of Wound Infection with Absorbable Suture Versus Non-Absorbable Suture after Cesarean Section. Pakistan Journal of Medical and Health Sciences. 2022;16(11):264–6.
  25. Wadhwa SN, Sanjita, Wadhwa L, Jaiswal S, Rajpurohit N. What’s the right time for dressing in a cesarean wound? Early versus late dressing removal in cesarean wound. International Journal of Clinical Obstetrics and Gynaecology. 2021;5(1):296–301.
  26. Broumand F, Zand Vakili N, Yekta Z, Vazifekhah S. Comparative study of surgical site infection with or without post cesarean prophylactic oral antibiotics; a single-blinded randomized clinical trial. Journal of Preventive Epidemiology. 2021;7(1):e07–e07.
  27. Roheman, Seventina H, Mustopa, Masrifah, Wike. Effect of Early Mobilization on the Decrease in Pain Intensity Among Post Cesarean Section Patients at Cirebon Hospital in 2019. Advances in Health Sciences Research. 2020;27(ICoSHEET 2019):382–4.
  28. Shigematsu-Locatelli M, Kawano T, Kitamura S, Nishigaki A, Yamanaka D, Aoyama B, et al. Does preoperative patient’s estimated acceptable pain affect the satisfaction with postoperative pain management? JA Clinical Reports. 2017;3(1):3–6.
  29. Demelash G, Woldegerima Y, Hailekiros A, Birlie W. Postoperative Pain After Cesarean Section at University of Gondar Comprehensive Specialized Hospital. Research Square. 2020;1–18.
  30. Demelash G, Berhe YW, Gebregzi AH, Chekol WB. Prevalence and Factors Associated with Postoperative Pain After Cesarean Section at a Comprehensive Specialized Hospital in Northwest Ethiopia: Prospective Observational Study. Open Access Surgery. 2022;Volume 15:1–8.
  31. Shah M, Douglas J, Carey R, Daftari M, Smink T, Paisley A, et al. Reducing ER Visits and Readmissions after Head and Neck Surgery Through a Phone-based Quality Improvement Program. Annals of Otology, Rhinology and Laryngology. 2021;130(1):24–31.




DOI: https://doi.org/10.20961/placentum.v13i1.94133

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya

View My Stats

Lisensi Creative Commons
This work is licensed under a Creative Commons Attribution-ShareAlike International 4.0 (CC BY-SA 4.0).