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ISSN 2063-5346
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EARLY VERSUS DELAYED ORAL POSTOPERATIVE FEEDING AFTER CESAREAN SECTION

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Yasmeen K.M.L. Dabees; Mohamed M. Abd Al Rahman; Gamal G. Yousef; Tarek E. Ahmed H. Abdelaal
» doi: 10.48047/ecb/2023.12.si4.538

Abstract

Cesarean section continues to be the most common surgical delivery procedure. Until recent years, oral fluids were not given until at least 8-h post-cesarean surgery. With changing surgical attitudes, however, the benefits of early oral feeding, especially after cesarean section, are being reconsidered. Aim: The present randomized clinical trial was aiming to evaluate the outcomes of early feeding (6 hours after operation) versus delayed oral maternal feeding (Withholding food until appearance of intestinal sounds/ bowel movements (Traditional feeding)) after cesarean section under regional anesthesia. Methods: Fourty patients were randomly allocated to one of two groups; the early feeding group and the traditional feeding group (20 patients for each group). Patients included in the study were 18-40 years old, cesarean section was performed for all cases in the Pfannenstiel-Kerr method under regional anesthesia. All of the patients were with singleton pregnancy with gestational age 38–42 weeks and stable vital signs. Patients with intraoperative complications such as bowel or bladder injury, more than 1000 ml blood loss during operation and patients using magnesium sulfate were excluded from the study. Patients with history of bowel surgery and history of maternal medical diseases were also excluded from the study. The 40 patients underwent elective cesarean section, of which 20 patients started oral feeding 6 hours after operation (early feeding). It included clear fluids and a soft diet of boiled vegetables. The other 20 patients withheld oral feeding until the appearance of intestinal sounds / bowel movements (delayed feeding). The timing of oral feeding was assigned randomly in an equal matter to the 40 patients. During hospitalization, onset of bowel movement, abdominal distension, time to passage of flatus and time of defection were assessed. Gastrointestinal symptoms and women's satisfaction were asked about. Time of mobilization was recorded. Result(s): Women who received early feeding was significantly more satisfied than delayed feeding group. Ambulation was earlier in early feeding women with range (4 – 5) compared to (6 – 9) for delayed feeding group. There were significant strong direct correlations between time of pass flatus and both time of first defection and time of first normal diet, also there was a significant weak correlation between time of pass flatus and time of ambulation. Conclusion: Early postoperative oral feeding in caesarian section is safe compared with delayed postoperative oral feeding.

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