Randomized Clinical trial Comparing Postoperative Outcomes of early versus late oral Feeding after Cesarean Section
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: Cesarean section is the most common major surgical procedure performed in the world with a low chance of mortality for mother and child. Aim of the Work: to compare between the outcomes of early and late oral feeding after cesarean section under regional anesthesia. Patients and Methods: 300 women were included in this study. They were divided into two equal groups: Group A: composed of 150 patients who were encouraged to oral fluid (semi solid and solid) starting 2 h after C- section. Group B: composed of 150 patients who received oral fluid at 8 h following surgery. Result: there were no significant differences between the 2 groups in mean maternal age, BMI and parity. Women in the two groups had similar operative and postoperative characteristics. In this study it was found that women in the early oral feeding group had a highly significant shorter hospital staying time than the late oral feeding group (25 (23 – 28) hours versus 27 (24 – 29.5) hours P value 0.001), and a highly significant satisfaction level among early oral feeding group (132 (88.0%) versus 47 (31.3%) P value 0.000). A significantly shorter time to ambulation in early oral feeding group (6 (4.5 – 8.5) hours versus, 6.5 (5 – 9.5) hours P value 0.014), and a significantly higher rate of occurrence of distention among the late oral feeding group (27 (18.0%) versus 15 (10.0%) P value 0.045). No significant differences were identified with respect to nausea, vomiting, time to 1st passing flatus, and time to defecation. Results were the same as regard rehospitalization, and wound infections. Conclusion: Women who underwent cesarean births under regional anesthesia, and started early oral feeding had better post cesarean outcomes like those who receive routine hospital care for the same type of anesthesia as regard GIT functions and complications except the abdominal distension that showed a lower rate in the early feeding group. Also showed no difference as regard rate of wound infection and rehospitalization.
Authors and Affiliations
Ahmed M. Hashaad, Nermeen A. El- Ghareeb, Lobna S. Mohammad
Keywords
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- EP ID EP431007
- DOI 10.9790/0853-1801033338.
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