The Effect Of Immediate Versus Early Oral Hydration On Caesarean Section Post Operative Outcomes

Ain Shams University

Status: Completed

Conditions: Cesarean Section

Treatments: Dietary Supplement: Early hydration; Dietary Supplement: Immediate hydration

Study type: Interventional

Funder types: Other

Identifiers

NCT03566498

IMOH

Details and patient eligibility

About

The aim of this study is to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated Caesarean section

Full description

The aim of this study is to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated Caesarean section on the following post-operative outcomes:

1. Post-operative nausea, vomiting, abdominal distention and abdominal cramps.
2. Return of intestinal movements.
3. Duration of intravenous fluid administration.
4. Duration of hospital stay.
5. Participant satisfaction

Enrollment: 140 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Uncomplicated pregnancy.

  • Uncomplicated elective or emergency Caesarean section under regional anesthesia

Exclusion criteria

• • Having medical disorders in the form of: hypertension, DM, and Hepatic disorders.

  • Having bleeding disorders.
  • Having intraoperative bowel or bladder injury.
  • Having intraoperative or immediate postoperative severe bleeding.
  • Having chronic gastrointestinal problems, like chronic constipation, peptic ulcer, esophagitis, hiatus hernia or irritable bowel syndrome.
  • Having abdominal adhesions

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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140 participants in 2 patient groups

Immediate hydration

Experimental group

Description:

They will be allowed to start oral fluids immediately (within the first 2 hours post operatively) beginning with water or clear fluids (but not milk or soda containing drinks), the amounts will be according to their needs, solid food will be given gradually after tolerating the drinks and intravenous fluids will be given beside all of that and till the return of intestinal movements.

Treatment:

Dietary Supplement: Immediate hydration

Early hydration

Active Comparator group

Description:

They will receive the routine intravenous fluids and the oral fluids will be given after 8 hours post operatively and gradually, solid food will be allowed after that gradually too and the intravenous fluids will be stopped after return of intestinal movements.

Treatment:

Dietary Supplement: Early hydration