Purpose: This study was conducted to determine the severity of abdominal distension (AD) after cesarean section in women and the factors affecting it.Material and Methods: This cross-sectional study was conducted between January and June 2025 with 176 women who underwent cesarean section in Turkey. Data were collected using the “Personal Information Form”, “Postoperative Information Form” and “Visual Analog Scale (VAS)”. Descriptive statistics, t-test, ANOVA test and multiple regression analysis were used to analyze the data.Results: The mean duration of first gas output, AD and VAS severity of the participants after cesarean section were 16.0±6.65 hours, 4.67±0.90 and 4.42±0.87, respectively. According to multiple regression analysis, it was found that hemorrhoids, pain and coffee consumption increased AD severity by 1.114, 0.265 and 0.558 unit points, respectively, and defecation once a day and 2-4 times a week in the last month of pregnancy decreased it by 0.749 and 0.777, respectively. Conclusion: It is recommended that women should be provided with education and counseling to prevent the risk factors that increase the severity of AD starting from the gestational period, awareness of healthcare professionals should be increased in this regard, and patients should be closely monitored for distension after cesarean section.Keywords: Abdominal distension; cesarean section; pain; postoperative care; postoperative complications.
Yeşildağ et al. (Mon,) studied this question.