Post Operative Feeding After Cesarean Section

Kasr El Aini Hospital

Status: Unknown

Conditions: Feeding Patterns

Treatments: Other: timming of feeding

Study type: Interventional

Funder types: Other

Identifiers

NCT04338737

MS-235-2019

Details and patient eligibility

About

3 different post ceseraen secton feeding regmen are compared

Full description

300 women admitted to the labor and delivery unit in kasr Elainy teaching hospital, Following the decision to perform a cesarean section because of obstetric indications. The study involved only elective cesarean sections.

The 300 patients participated in this work and will be randomly and equally divided into three groups:

1. Group A :

   It consists of 100 patients that will be allocated for early post-operative oral feeding receiving water and clear fluid approximately 2 hours after surgery, followed by soft food and regular diet 4 hours later irrespective to intestinal sounds, flatus or stool.

2. Group B :

   It consists of 100 patients that will be allocated for early Postoperative oral feeding receiving water and clear fluid approximately 2 hours after surgery till the return of intestinal sounds, then soft food and regular diet later on.

3. Group C :

It consists of 100 patients that will receive no oral feeding till passage of flatus instead 2 to 3 Litres of intravenous fluid will be used for feeding. Water and fluid will be then offered, followed by soft foods and then a regular diet.

Enrollment: 300 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 1 or two cesarean section.
• Elective cesarean section.
• Regional anaesthesia.
• Singleton pregnancy

Exclusion criteria

• Medical disorders as (sever preeclampsia, diabetes, liver or kidney diseases).
• Intraoperative intestinal injury.
• Previous major abdominal surgery except cesarean section.
• Obstructed labor with

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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300 participants in 3 patient groups

fluid and soft food

Active Comparator group

Description:

It consists of 100 patients that will be allocated for early post-operative oral feeding receiving water and clear fluid approximately 2 hours after surgery, followed by soft food and regular diet 4 hours later irrespective to intestinal sounds, flatus or stool.

Treatment:

Other: timming of feeding

fluid only

Active Comparator group

Description:

It consists of 100 patients that will be allocated for early Postoperative oral feeding receiving water and clear fluid approximately 2 hours after surgery till the return of intestinal sounds, then soft food and regular diet later on.

Treatment:

Other: timming of feeding

Npo

Active Comparator group

Description:

It consists of 100 patients that will receive no oral feeding till passage of flatus instead 2 to 3 Litres of intravenous fluid will be used for feeding. Water and fluid will be then offered, followed by soft foods and then a regular diet.

Treatment:

Other: timming of feeding