Short Versus Standard Post-operative Stay After Elective Cesarean Delivery

Assiut University

Status: Unknown

Conditions: Cesarean Section Complications

Treatments: Procedure: gum chewing

Study type: Interventional

Funder types: Other

Identifiers

NCT03355378

POSCS

Details and patient eligibility

About

After major open abdominal surgery, transient paralytic ileus usually follows. It has been suggested that stimulation of pain fibers, excessive sympathetic tone, and the release of inhibitory neurotransmitters from bowel wall associated with bowel manipulation and peritoneal irritation are responsible mechanisms. There have been concerns that early postoperative oral feeding would lead to vomiting with subsequent aspiration pneumonia, anastomotic leakage, and wound dehiscence.

Enrollment: 200 estimated patients

Sex: Female

Ages: 20 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Women is sure of her last menstrual period or documented early pregnancy ultrasound.
2. Women aged 20-35 years.
3. Women with Body mass index18-22 kg/m2.
4. Estimated gestational age is ranging between 37-40 weeks gestation.
5. Accepting to participate in the study.

Exclusion criteria

1. Smoker ≥ 11 cigarettes/day.
2. Caesarean hysterectomy .
3. Surgical management of severe postpartum haemorrhage .
4. History of bowel obstruction , inflammatory bowel disease .
5. Previous abdominal or pelvic radiation

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

study group

Experimental group

Description:

gum chewing during spinal anesthesia and early ambulation

Treatment:

Procedure: gum chewing

Control group

No Intervention group

Description:

no gum chewing