Caesarean section Pregnancy and Childbirth Single delivery by caesarean section
Conditions
Interventions
Early feeding with food and fluid served to the patient for immediate consumption as soon as possible after patient returns to the ward OR On demand feeding with food and fluid served to the patient o
Sponsors
University of Malaya (Malaysia)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Admitted for a planned caesarean delivery 2. Age = 18 years 3. Spinal anaesthesia 4. Singleton viable pregnancy 5. Gestation = 37 weeks
Exclusion criteria
Exclusion criteria: 1. Major placenta praevia 2. No concurrent severe medical problems 3. Complicated Caesarean delivery 3.1. Significant intra-abdominal adhesions 3.2. Blood loss > 800 ml 3.3. Bowel, bladder or ureteric injury 3.4. Myomectomy 3.5. Hysterectomy 3.6. Significant adnexal surgery 4. Atonic uterus during Caesarean 5. Adherent placenta 6. Ongoing concern about post Caesarean haemorrhage 7. Any intra-operative development precluding early feeding as identified by provider 8. Magnesium sulphate infusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Patient satisfaction using a 10 cm Visual Analog Scale (VAS) 2. Vomiting episodes in the first 24 hours post operation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Nausea Verbal Numerical Rating Scale (VNRS) score at 8, 16 and 24 hours 2. Bloating VNRS score at 8, 16 and 24 hours 3. Pain VNRS score at 8, 16 and 24 hours 4. Passage of first flatus 5. First bowel sound 6. Anti-emetic use post delivery 7. Time to mobilization 8. Time to removal of urinary catheter/passing urine 9. Length of hospital stay 10. Additional analgesia in first 24 hours Questionnaire at 24 hours: 1. Recommend feeding regimen to a friend: 5-point Likert scale 2. In a future Caesarean: prefer to be fed as soon as possible/at my own pace | — |
Countries
Malaysia
Outcome results
None listed