Gastrointestinal Motility and Defaecation Conditions
Conditions
Brief summary
This study evaluates the effect of early oral hydration on bowel movement after CS, it includes 2 groups: study group participants receive 100 ml water after 1hr from the end of CS, while the others receive water after 6hrs from the end of CS.
Detailed description
Traditionally, oral intake after CS was depend on insurance of intestinal movement, since uncomplicated CS does not affect the intestine and the mother needs to care of her infants, lactates, discharged from hospital, early oral hydration may enhance bowel movement, so the investigators need to evaluate the safety of early oral hydration after CS. This study compare the effects of introducing water during the 1st hour or after 6 hours on bowel movement after CS.
Interventions
OTHEREarly oral hydration
starting oral hydration 1 hour following Cesarean Section using 100 ml clear water
OTHERDelayed oral hydration
starting oral hydration 6 hours following Cesarean Section using 100 ml clear water
Sponsors
Ain Shams Maternity Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* uncomplicated elective or emergency lower segment Caesarean section * average blood loss during and after cs * regional anaesthesia * primary or recurrent CS
Exclusion criteria
* surgical complications esp; intestinal injury * postpartum hemorrhage * medical disorder with pregnancy eg. hypertension, diabetes mellitus * factors that may increase risk of postpartum hemorrhage as twins pregnancy, polyhydramnios and anemia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to 1st audible intestinal sound | First 12 hours after Cesarean Section | Auscultating intestinal sounds (using stethoscope) hourly for the first 12 hours after Cesarean Section till intestinal sounds are audible. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to passage of first flatus | Up to 48 hours following the Cesarean Section | Recording the timing of passage of first flatus following Cesarean Section (up to the first 48 hours). |
| Time to first bowel motion | Up to 3 days (72 hours) following Cesarean Section | Recording the first time the pass stools after cesarean section (up to the first 72 hours). |
| time to 1st breast feed | First 24 hours after the Cesarean Section | Recording the first time to breastfeed after cesarean section (up to the first 24 hours). |
Countries
Egypt
Outcome results
None listed