Pregnant woman undergoing a cesarean section
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients scheduled to give birth by elective cesarean section at Kitasato University Hospital Pregnant women aged 18 to 45 who have given consent to participate in the study and who had a scheduled cesarean section at our hospital during the second trimester of pregnancy
Exclusion criteria
Exclusion criteria: The following patients are excluded. 1 After an unplanned or emergency cesarean section 2 Cases involving surgical invasive procedures other than a normal cesarean section 3 Cases where blood products other than preoperative autologous blood were used for severe postpartum hemorrhage (>1500ml) 4 Cases where radiation therapy was performed for severe postpartum hemorrhage (>1500ml) 5 Those with a history of abdominal surgery during pregnancy 6 Those with a history of gastrointestinal disorders such as intestinal obstruction or inflammatory bowel disease, or peritonitis 7 After abdominal or pelvic radiation 8 Postoperative mechanical ventilation 9 Postoperative intensive care unit admission (excluding MFICU cases, GICU cases) 10 Patients with a history of opioid use 11 Patients who received ondansetron during cesarean section
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time until first fart after cesarean section | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first normal bowel sound after cesarean section, time to first bowel movement, length of hospital stay, incidence of nausea and vomiting, incidence of ileus, presence or absence of abdominal distension as perceived by the patient, change in salivary amylase activity before and after first tongue-twisting exercise | — |
Countries
Japan
Contacts
Kitasato University School of Medicine Department of Anesthesiology