Cesarean Section Complications
Conditions
Keywords
post-operative ileus, early feeding, delayed feeding
Brief summary
study compares the outcomes of feeding mothers early (4 hours ) after cesarean section compared to delayed feeding (on post operation day 1) in terms of gastrointestinal function and maternal satisfaction with the feeding schedule.
Detailed description
patients who are scheduled to undergo elective cesarean section are randomised to two groups, one group will be allowed to feed 4 hours after cesarean section while the other group will be fed traditionally by feeding on the first post op day. gastrointestinal signs and symptoms will be measured such as post operative ileus, vomiting, nausea, abdminal distension. other parameters to be measured include time to ambulate out of bed after surgery, time to start breastfeeding after surgery. satisfaction with both feeding regimes will be assessed after surgery and the incedence of wound infecion will be compared between the two groups after two weeks durung the post natal review.
Interventions
PROCEDUREearly feeding
start oral sips four hours after cesarean section
PROCEDUREdelayed feeding
start oral feeding on post operation day 1 (\>12hours) after surgery
Sponsors
University of Ghana Medical School
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
No minimum to 49 Years
Healthy volunteers
Yes
Inclusion criteria
Uncomplicated elective Cesarean sections performed under regional anaesthesia without extensive intra operative bowel adhesions. Women who give consent to participate in the study.
Exclusion criteria
* Elective Cesarean sections complicated by severe haemorrhage, bowel injury requiring bowel manipulation, repair, resection and anastomosis or colostomy. Women who require a Cesarean hysterectomy. Women who require a Post-partum hysterectomy. Mothers with severe pre-eclampsia. Mothers with sickle cell disease. Mothers with pregestational or gestational diabetes. Mothers who have been scheduled for Cesarean section and require general anaesthesia. Women who have had a previous laparotomy other than a Cesarean section.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post-operative ileus | within 3 days after surgery | onset of vomiting \>4 times per day |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Crampy abdominal pain | within 3 days after surgery | abdominal pain after feeding following cesarean section |
| Time of initiation of breastfeeding post operatively | within 3 days after surgery | time it takes to start breastfeeding after cesrean section |
| Woman's satisfaction | within 3 days after surgery | measure level of satisfaction with feeding regime using an assessment scoring tool. this is in the form of a questionair adminstered to the client by the investigator. |
| Time of ambulation out of bed after surgery | within 3 days after surgery | time it takes for the mother to get out of bed and sit up or mobilize |
| Incedence of a wound infection | within 2 weeks of surgery | measure of the presence of wound infection in both arms on day of discharge and 2 weeks post discharge |
Countries
Ghana
Contacts
Primary ContactKojo A. Apea-Kubi, MBChB, MGCPS
Backup Contactmustapha salifu
Outcome results
None listed