According to WHO, the rate of delivery by sectio caesarea is quite large, which is around 24%-30% of all childbirth processes, for developed countries such as the Netherlands it is around 9-13%. In Indonesia, the percentage is still large, which is more than 50%. Sectio caesaria surgery can cause physiological changes in the body such as a decrease in body temperature. Hypothermia affects several organ systems initially causing an increase in metabolic rate, tachycardia in the cardiovascular system, peripheral vascular resistance, causing shivering. Based on the preliminary study, 195 patients (75%). Shivering if not treated immediately will cause discomfort, shivering can also develop into serious complications. This study goals to determine the effect of an electric sand pillow on the shivering level of sectio caesarea patients after spinal anesthesia at Budhi Asih Hospital, Jakarta in 2021. The research method used is a quasi- experimentalresearch with a two-group pre-test-post-test design. The sample in this study were some post SC patients at Budhi Asih Hospital as many as 70 people, the sampling technique was purposive sampling. There was a significant difference between before and after giving the electric sand pillow (p=0.000). There is an effect of an electric sand pillow on decreasing the shivering level