Gastrointestinal Motility and Defecation Conditions
Conditions
Keywords
bowel movements, cesarean section, oral hydration
Brief summary
this study helps us to compare and evaluate prospectively the benefits and safety of early hydration on bowel movement after cesarean section it includes two groups, a control group and a study group. the study group will get 200 ml of sugar free water within 1 hour after cs while the control group will get 200 ml of sugar free water 6 hours after cs
Detailed description
Traditionally, patients are not given fluids or food after cesarean sections until bowel function returns as evidenced by bowel sounds, passage of stool or flatus since , uneventful (uncomplicated) cesarean sections have no effect on intestinal functions and with putting in minds the need of the mother for early hydration , movement , breast feeding and early discharge; that is why we are investigating the effectiveness and safety of early oral hydration after cesarean sections
Interventions
OTHEREarly Hydration
this group will start oral hydration within 1 hour after cesarean section
OTHERTraditional Oral Hydration
this group will start oral hydration 6 hours after cesarean section
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* Term Singleton Pregnancy. * Uncomplicated Elective Cesarean Section. * Time of Cesarean Section doesn't exceed 90 minutes. * Average blood loss during and after cesarean section (doesn't exceed 1000cc). * All patients will be under spinal anesthesia.
Exclusion criteria
* Postpartum Hemorrhage. * Surgical Complications Such as intestinal injury. * Medical disorders such as Diabetes and Hypertension * Factors that may influence postpartum blood loss as anemia, multiple pregnancy and polyhydraminos. * Use of tocolytic drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| audible intestinal sounds | first 12 hours after cesarean section | auscultation of intestinal sounds hourly for the first 12 hours after cesarean section |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time for first breast feeding | first 24 hours after cesarean section | recording the time of first breast-feed |
| abdominal distension | first 24 hours after cesarean section | recording the incidence of abdominal distension after cesarean section |
| amount of given intravenous fluids | up to 24 hours after cesarean section | recording amount in ml of given iv fluids |
| need for pain analgesics | up to 24 hours after cesarean section | recording the amount of pain analgesia needed after cesarean section |
| postoperative anorexia, nausea and vomiting | first 24 hours after cesarean section | recording the incidence of git upset symptoms in the first 24 hours after cesarean section |
| satisfaction measured with a visual analogue scale before patient discharge | first 6 hours after cesarean section | measuring satisfaction level after cesarean section |
| time to first flatus | up to 48 hours after cesarean section | recording the time at which the patient had its first flatus |
| time to first bowel movement | up to 72 hours after cesarean section | recording the time at which the patient had her first bowel motion |
| length of hospital stay | up to 48 hours after cesarean section | recording the length of patients' stay at hospital |
Countries
Egypt
Outcome results
None listed