Early Versus Late Hydration After Cesarean Section (CS)

Ain Shams Maternity Hospital

Status: Completed

Conditions: Gastrointestinal Motility and Defaecation Conditions

Treatments: Other: Delayed oral hydration; Other: Early oral hydration

Study type: Interventional

Funder types: Other

Identifiers

NCT02630810

EVLHACS 1

Details and patient eligibility

About

This study evaluates the effect of early oral hydration on bowel movement after CS, it includes 2 groups: study group participants receive 100 ml water after 1hr from the end of CS, while the others receive water after 6hrs from the end of CS.

Full description

Traditionally, oral intake after CS was depend on insurance of intestinal movement, since uncomplicated CS does not affect the intestine and the mother needs to care of her infants, lactates, discharged from hospital, early oral hydration may enhance bowel movement, so the investigators need to evaluate the safety of early oral hydration after CS.

This study compare the effects of introducing water during the 1st hour or after 6 hours on bowel movement after CS.

Enrollment: 267 patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• uncomplicated elective or emergency lower segment Caesarean section
• average blood loss during and after cs
• regional anaesthesia
• primary or recurrent CS

Exclusion criteria

• surgical complications esp; intestinal injury
• postpartum hemorrhage
• medical disorder with pregnancy eg. hypertension, diabetes mellitus
• factors that may increase risk of postpartum hemorrhage as twins pregnancy, polyhydramnios and anemia

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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267 participants in 2 patient groups

Early oral hydration

Experimental group

Description:

Early oral intake of 100 ml clear unsweetened water 1 hour following the Cesarean Section, then upon patient's desire, then starting semisolid, solid food when participant passed flatus.

Treatment:

Other: Early oral hydration

Delayed oral hydration

Active Comparator group

Description:

Oral intake of 100 ml clear unsweetened water after 6 hours from the end of CS then upon patient's request,then starting semisolid, solid food when participant passed flatus.

Treatment:

Other: Delayed oral hydration