Postoperative Results of Early Versus On-demand Maternal Feeding After Cesarean Delivery

Acibadem University

Status: Completed

Conditions: Patient Satisfaction; Postoperative Nausea and Vomiting; Cesarean Delivery; Feeding Patterns

Treatments: Behavioral: On- Demand feeding; Behavioral: Early feeding

Study type: Interventional

Funder types: Other

Identifiers

NCT03349151

ATADEK-2017/4

Details and patient eligibility

About

To compare early versus on demand maternal feeding after cesarean delivery regarding gastrointestinal complaints and patient's satisfaction.

Full description

Two hundred uncomplicated singleton term pregnancies who had caesarean section under regional anaesthesia will be included in our trial. Patients will be randomized to a soft food diet (honey, skimmed cheese, soup, mashed potatoe, pudding, grissini) served on postoperative 2nd hour or whenever they wanted to eat on return to the ward. Thirty minutes after they eat their meal, nausea, vomiting, ileus and distention will be questioned. Participants will be provided with the visual analogue scale (VAS), which will be presented with a statement explaining what was intended to measure. Patient satisfaction before discharge from hospital will be recorded by the patient by using a 100-mm VAS (0= minimum satisfaction, 100= maximum satisfaction). Time to first flatus passage and defecation will be recorded after the caesarean section.

Enrollment: 262 patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Uncomplicated singleton term pregnancy
• Planned or intrapartum uncomplicated cesarean section
• Cesarean section under regional anesthesia

Exclusion criteria

• General anesthesia
• History of bowel surgery
• Prenatal diagnosis of fetal anomaly
• Maternal disease
• Intraoperative or immediate postoperative major complications

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

262 participants in 2 patient groups, including a placebo group

Early feeding

Active Comparator group

Description:

This group will be served soft meal diet served on postoperative 2nd hour on return to the ward.

Treatment:

Behavioral: Early feeding

On- demand feeding

Placebo Comparator group

Description:

This group will be served soft meal diet served whenever they wanted to eat on return to the ward.

Treatment:

Behavioral: On- Demand feeding