Cesarean Delivery, Feeding Patterns, Patient Satisfaction, Postoperative Nausea and Vomiting
Conditions
Keywords
Postoperative maternal feeding, cesarean section
Brief summary
To compare early versus on demand maternal feeding after cesarean delivery regarding gastrointestinal complaints and patient's satisfaction.
Detailed description
Two hundred uncomplicated singleton term pregnancies who had caesarean section under regional anaesthesia will be included in our trial. Patients will be randomized to a soft food diet (honey, skimmed cheese, soup, mashed potatoe, pudding, grissini) served on postoperative 2nd hour or whenever they wanted to eat on return to the ward. Thirty minutes after they eat their meal, nausea, vomiting, ileus and distention will be questioned. Participants will be provided with the visual analogue scale (VAS), which will be presented with a statement explaining what was intended to measure. Patient satisfaction before discharge from hospital will be recorded by the patient by using a 100-mm VAS (0= minimum satisfaction, 100= maximum satisfaction). Time to first flatus passage and defecation will be recorded after the caesarean section.
Interventions
BEHAVIORALEarly feeding
Feeding on postoperative 2nd hour on return to the ward
BEHAVIORALOn- Demand feeding
Feeding whenever the patient asks for on return to the ward
Sponsors
Acibadem University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Prospective randomised
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* Uncomplicated singleton term pregnancy * Planned or intrapartum uncomplicated cesarean section * Cesarean section under regional anesthesia
Exclusion criteria
* General anesthesia * History of bowel surgery * Prenatal diagnosis of fetal anomaly * Maternal disease * Intraoperative or immediate postoperative major complications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | On postoperative day 2 before they are discharged from the hospital. | The primary outcome is patient satisfaction before discharge from hospital, measured using a scale called visual analogue scale (VAS). It is a 100-mm long scale with adjectival descriptions at both end positions. There will be a statement explaining what was intended to measure. Participants will be asked to mark the VAS on the second they of the surgery before they are discharged from the hospital. On this scale 0= lack of satisfaction from the timing of having their meal after the surgery 100= full satisfaction from the timing of their meal after the surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative passage of flatus and defecation | Postoperative day 0 to day 2. | The participants will be asked to inform the nurse when they have their first passage of flatus and defecation. |
| Postoperative gastrointestinal complaints | Thirty minutes after the surgery | Thirty minutes after the surgery the nurse will question the patients if they have a complaint of nausea, vomiting or abdominal distention. |
| Postoperative pain medication | Postoperative from day 0 to day 2 | After the surgery the need for pain medication will be followed. The name of the medicine, the time when the pain killer was used, the dosage of the medicine will be recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed