Women admitted to hospital and awaiting planned Caesarean section Pregnancy and Childbirth
Conditions
Interventions
Participants are randomised using sealed opaque envelopes to either:
A: No solids from 2 am of the morning of the planned Caesarean and free access to drink a carbohydrate beverage fro
Sponsors
University Malaya Medical Centre
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Admitted for planned Caesarean section 2. Age =18 years 3. Gestational age =37 weeks 4. Planned spinal anaesthesia 5. Singleton pregnancy 6. Reassuring fetal status (normal fetal heart rate tracing)
Exclusion criteria
Exclusion criteria: 1. BMI >35 kg/m² 2. Placenta praevia 3. Placenta accreta spectrum 4. In labour or having contractions 5. Diabetes requiring insulin 6. Anticipated extended surgery 7. Anticipated significant conversion risk to general anesthesia 8. Anticipated intensive care unit admission 9. Patient who is suspected of COVID-19 infection or SARS-CoV-2 positive
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number of satisfactory breastfeeding episodes on the day after Caesarean until day 2 post-operation (8 am to 8 am), measured using a breastfeeding diary recording times, episode duration and whether the participant perceived the episode to be satisfactory from her perspective 2. Maternal satisfaction with preoperative oral intake care experience measured using Numerical Rating Scale (NRS 0-10) ratings on thirst, hunger and nausea at ward despatch to operating theatre | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Vomiting assessed using a questionnaire from prior to caesarean at arrival to the operating theatre (OT) to exit to OT recovery, at arrival OT recovery to exit to postnatal ward, and pre-discharge from ward 2. Sensation of thirst, hunger and nausea assessed using a numeric rating scale (0 to 10) at despatch to operating theatre 3. Capillary blood glucose level measured using a glucometer at despatch to operating theatre 4. IV rehydration (preoperative) measured using a questionnaire at the OT reception/waiting area 5. Intraoperative heaving/retching (sub-vomiting) measured using a questionnaire (none/heaving or retching/vomiting) during surgery 6. Intraoperative hypotension measured using a questionnaire pre-spinal/intraoperative 7. Post-Caesarean interval to first oral feed measured using a questionnaire after surgery 8. Post-Caesarean interval to first flatus measured using a questionnaire after surgery 9. Post-Caesarean interval to ambulation measured using a questionnaire after surgery 10. Post-Caesarean interval to hospital discharge measured using a questionnaire after surgery 11. Pain at rest measured using a numeric rating scale (0 to 10) at 8 am Day 1 post operation 12. Satisfactory breastfeeding episodes after Caesarean to 8 am Day 1, measured using a patient-completed breastfeeding diary 13. Maternal satisfaction with preoperative oral intake measured with a patient-completed numeric rating scale (0 to 10) at 8 am Day 1 14. Maternal satisfaction with breastfeeding experience measured with a patient-completed questionnaire (satisfactory/unsatisfactory) on Day 1 15. Neonatal outcome assessed using the Apgar score 0-10 at 1 minute and 5 minutes after delivery (completed by doctor or nurse) 16. Umbilical arterial blood p | — |
Countries
Malaysia
Contacts
Public ContactNorfariza Jaudin
Outcome results
None listed