Case Report: Post-Cesarean Section Wound Dehiscence in a Postpartum Woman with Obesity

Abstract

Wound dehiscence is a complication of cesarean section that can delay wound healing and increase the risk of infection. Obesity is an important risk factor because impaired tissue perfusion may slow the healing process. This case report aimed to describe the provision of comprehensive midwifery care for a postpartum woman with obesity who experienced wound dehiscence following cesarean section. A descriptive case report design was used involving a 41-year-old postpartum woman, P20002, with grade II obesity and cesarean wound dehiscence on postpartum day 20. Care was provided at Taji Public Health Center, Magetan Regency, from January 31 to February 9, 2026, consisting of an initial assessment and three home visits. Midwifery care was provided using the Varney management approach and documented in the SOAP format. Interventions included aseptic wound care, education on self-care, adequate high-protein nutrition, gradual mobilization, proper body mechanics, non-pharmacological pain management, breastfeeding-position education, and regular wound monitoring using the REEDA scale and Numeric Rating Scale (NRS). The wound condition gradually improved, with the REEDA score decreasing from 4 to 0 and pain intensity decreasing from NRS 4 to 0. The wound healed completely without signs of infection, accompanied by improved adherence to wound care, nutritional recommendations, and other advised measures. Comprehensive midwifery care supported wound healing through appropriate wound management, continuous education, nutritional support, gradual mobilization, and regular monitoring.