Effects of Mobilization and Caffeine After Cesarean

In the intervention group, the goal is to initiate bowel motility by mobilizing women early in the post-cesarean period. This increased bowel motility will facilitate gas expulsion, thus minimizing pain levels. Caffeine consumption will help keep pain levels at a minimum. By minimizing pain, women will experience positive psychological well-being.

Inclusion criteria

• Being between 18 and 35 years of age,
• Women who underwent cesarean delivery under spinal anesthesia,
• Having a post-cesarean pain level of 4 or higher,
• Being able to understand and write Turkish and communicate effectively with researchers.

Exclusion criteria

• Women who underwent emergency cesarean delivery,
• Those with pregnancy complications (preeclampsia, placenta previa, etc.),
• Those with a history of chronic gastrointestinal disease (e.g., irritable bowel syndrome, Crohn's disease, ulcerative colitis),
• Those with sensitivity or allergy to caffeine,
• Those with a history of chronic pain syndrome or dependence on analgesics,
• Regular coffee drinkers (≥2 cups per day),
• Intraoperative complications such as bowel or bladder injury,

i) Those who cannot comply with the study protocol or complete the follow-up process.

Removal Criteria:

• Participants are excluded from the study under the following conditions:
• During surgery If complications occur (e.g., bladder or bowel injury, excessive bleeding),
• Postoperative complications requiring admission to the intensive care unit (ICU) for the mother or newborn,
• Development of severe postoperative nausea, vomiting, or intolerance to oral intake,
• Inability to consume or refusal to consume coffee according to the study protocol,
• Withdrawal of consent by the participant at any point during the study,
• Failure to comply with surgical procedures or loss of follow-up,
• Development of medical conditions during follow-up that may affect study results (e.g., acute infections, neurological disorders).