Application of a Modified Comprehensive Care Map for Elderly Postnatal Mothers after Caesarean Section to Enhance Maternal and Neonatal Outcomes: A Pilot Study

Introduction: Caesarean Section (CS) is a surgical procedure with a challenging recovery period, especially for elderly postnatal mothers who may experience higher risks of complications. Effective postnatal care is essential in ensuring optimal maternal and neonatal outcomes. Aim: The present study evaluates a Modified Comprehensive Care Map (MCCM) for elderly postnatal mothers to enhance recovery, improve wound healing, reduce postnatal depression, and support neonatal well-being. Materials and Methods: The present pilot study was conducted at AVBRH, Wardha, Maharashtra, India, starting in December 2022. Thirty participants were randomly assigned to experimental group receiving the MCCM intervention and control group receiving standard postnatal care. Maternal and neonatal outcomes, including pain, depression, wound healing, and latching, were assessed. Data were collected at baseline, during hospitalisation, and follow-up visits, with statistical analysis performed. Results: Postintervention, the knowledge scores in staff nurses were significantly higher in the experimental group (p=0.0001). Similarly, postintervention, the experimental group showed significant improvements in oedema (p=0.041), ecchymosis (p=0.004), and total REEDA score (p=0.006) among mothers. A significant reduction in Postnatal Depression Scores (PDS) was observed in the mothers in experimental group (p<0.01). The experimental group had a higher percentage of pain-free mothers postintervention (46.67% vs. 23.33% in the control group). While improvement was observed in latching and sucking, statistical significance was not achieved (p=0.3006). Conclusion: The MCCM significantly improved wound healing, reduced postnatal depression, and enhanced pain management among elderly postnatal mothers.