Cesarean Section
Conditions
Brief summary
The aim of this study is to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated Caesarean section
Detailed description
The aim of this study is to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated Caesarean section on the following post-operative outcomes: 1. Post-operative nausea, vomiting, abdominal distention and abdominal cramps. 2. Return of intestinal movements. 3. Duration of intravenous fluid administration. 4. Duration of hospital stay. 5. Participant satisfaction
Interventions
DIETARY_SUPPLEMENTImmediate hydration
They will be allowed to start oral fluids immediately (within the first 2 hours post operatively) beginning with water or clear fluids (but not milk or soda containing drinks), the amounts will be according to their needs, solid food will be given gradually after tolerating the drinks and intravenous fluids will be given beside all of that and till the return of intestinal movements
DIETARY_SUPPLEMENTEarly hydration
They will receive the routine intravenous fluids and the oral fluids will be given after 8 hours post operatively and gradually, solid food will be allowed after that gradually too and the intravenous fluids will be stopped after return of intestinal movements.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* • Uncomplicated pregnancy. * Uncomplicated elective or emergency Caesarean section under regional anesthesia
Exclusion criteria
* • Having medical disorders in the form of: hypertension, DM, and Hepatic disorders. * Having bleeding disorders. * Having intraoperative bowel or bladder injury. * Having intraoperative or immediate postoperative severe bleeding. * Having chronic gastrointestinal problems, like chronic constipation, peptic ulcer, esophagitis, hiatus hernia or irritable bowel syndrome. * Having abdominal adhesions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postpartum vomiting | 48 hours | through a questionnaire patients were asked if they had vomiting or not and the nomber of attacks of vomitting |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Return of intestinal movements | 24 hours | through physical examination and auscultation of the intestinal sounds |
| Duration of intravenous fluid administration | 24 hours | — |
| Duration of hospital stay | 48 hours | — |
| Participant satisfaction | 48 hours | through a questionnaire patients were asked about degree of satisfaction 1- satisfied 2- neutral 3- not satisfied |
Outcome results
None listed