The Efficacy of Preoperative Low-residue Diet on Postoperative Ileus Following Cesarean Section

University of Roma La Sapienza

Status

Completed

Conditions

Cesarean Section Complications

Treatments

Dietary Supplement: Free diet

Dietary Supplement: Low-residue diet

Study type

Interventional

Funder types

Other

Identifiers

NCT06320548

0724/2018

Details and patient eligibility

About

The aim of the present study was to evaluate the efficacy of preoperative low-residue diet on postoperative ileus in women undergoing elective cesarean section. It is a surgeon-blind, randomized controlled trial enrolling pregnant women at ≥39 weeks of gestation undergoing elective cesarean section. Patients were preoperatively randomized to receive either low-residue diet (arm A) or free diet (arm B) starting from three days before surgery. The primary outcome was the postoperative ileus at 24 hours after surgery. The secondary outcomes were the postoperative pain (assessed through VAS scale), the quality of the surgical field (scored using a 5-point scale, from poor to excellent), postoperative complications, and the length of hospital stay. Perioperative data were collected and compared between groups.

Enrollment

166 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Pregnant women at ≥39 weeks of gestation scheduled for elective cesarean section at the Department of Gynecology of Policlinico Umberto I (Sapienza University of Rome) who gave written informed consent.

Exclusion criteria

Urgent/emergent surgery
Patients with gastrointestinal disorders
Complicated pregnancy (e.g., active infection, placental adhesive disorders, hypertensive disorders), which would potentially prolong their hospitalization
Incomplete medical records.