الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
Background: Major complication of cesarean section procedures is paralytic ileus which results in mothers’ discomfort, prolonged length of hospital stay and increased cost of treatment. Aim: Evaluate the effect of post cesarean nursing instructions on women pain level and bowel motility after cesarean birth. Methods: Quasi-experimental research design was used in this study. It was conducted at post-natal word, Mallawi Specialized Hospital (An obstetric department) Mallawy city, Minia governorate. Sample: A simple random sample of a total 124 women (that divided into four groups, A:(sugarless gum chewing) B:(early oral hydration) C:(early mobilization) and D:(control group)), each group contained 31 postpartum woman. Three tools were used; structured interview questionnaire, post cesarean assessment form, and pain scale. Results: There are highly statistical significant difference between all four groups at p-value <0.01 regarding hearing of bowel sound and passing flatus after CS. Conclusion: Sugarless gum chewing, early oral hydration and early mobilization are effective methods in respect of intestinal motility and women’s pain level in post-cesarean section birth. However, chewing gum scored better effect of hearing bowel sound, and pass flatus while early oral hydration scored better effect of pain releive Recommendations: Implementing health education sessions for pregnant women regarding the advantages of gum chewing, early oral hydration, and early ambulation after cesarean section delivery.