Effect of Early Posroperative Feeding on Gastrointestinal Function After Cesarean Section

Cairo University (CU)

Status: Unknown

Conditions: Post Operative Recovery

Treatments: Procedure: Cesarean section

Study type: Observational

Funder types: Other

Identifiers

NCT03680391

41

Details and patient eligibility

About

Two hundred women were recruited, with 103 randomized to traditional feeding and 97 to early feeding and compare women satisfaction during discharge from hospital

Full description

7. Study Methods

Population of study & disease condition :

Two hundred women were recruited, with 103 randomized to traditional feeding and 97 to early feeding and compare women satisfaction during discharge from hospital.

Inclusion criteria:

• Maternal age from 20 to 40
• Primigravida and previous one or two cesarean section
• Elective cesarean section
• regional anesthesia .singleton pregnancy.

Exclusion criteria:

• age below 20 years old or above 40 years old
• medical disorders as (hypertension, diabetes , liver or kidney diseases)
• complication during surgery as( bleeding, intestinal injury or urinary bladder injury ) .Emergency cesarean section .
• general anesthesia
• multiple pregnancy

Methodology in details:

1. all Women included in the study have undergo history taking and general examination
2. All patient in the study are randomized in two groups:

Group A:

103 patients will have early postoperative oral fluids and semisolid food after 6 hours of cesarean section irrespective to intestinal sounds ,flatus or stool passage

Group B:

97 patient will start oral fluids 6 hours with no solid or semi solid until after passage of flatus or stool 3_Both groups cesarean section will be held with the same technique:

• spinal anethesia
• pfennenstiel imcision
• lower segment cesarean section
• suturing uterus in two layers while exterionezed
• gentle manibulation
• no towels in gutters will be used 4_ comparison will be held between both groups according:
• postoperative intestinal sounds.
• postoperative nausea and vomiting
• postoprative abdominal distension
• postoperative pain
• postoperative ambulation
• postoperative ileus
• postoperative discharge time from hospital

Enrollment: 200 estimated patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Maternal age from 20 to 40

  • Primigravida and previous one or two cesarean section
  • Elective cesarean section
  • regional anesthesia .singleton pregnancy.

Exclusion criteria

age below 20 years old or above 40 years old

• medical disorders as (hypertension, diabetes , liver or kidney diseases)
• complication during surgery as( bleeding, intestinal injury or urinary bladder injury ) .Emergency cesarean section .
• general anesthesia
• multiple pregnancy

Trial design

200 participants in 2 patient groups

early postoperative feeding

Description:

103 patients will have early postoperative oral fluids and semisolid food after 6 hours of cesarean section irrespective to intestinal sounds ,flatus or stool passage

Treatment:

Procedure: Cesarean section

Late postoperative feeding

Description:

97 patient will start oral fluids 6 hours with no solid or semi solid until after passage of flatus or stool

Treatment:

Procedure: Cesarean section