Effect of Early Posroperative Feeding on Gastrointestinal Function After Cesarean Section

Post Operative Recovery

Two hundred women were recruited, with 103 randomized to traditional feeding and 97 to early feeding and compare women satisfaction during discharge from hospital

7\. Study Methods Population of study & disease condition : Two hundred women were recruited, with 103 randomized to traditional feeding and 97 to early feeding and compare women satisfaction during discharge from hospital. Inclusion criteria: * Maternal age from 20 to 40 * Primigravida and previous one or two cesarean section * Elective cesarean section * regional anesthesia .singleton pregnancy. Exclusion criteria: * age below 20 years old or above 40 years old * medical disorders as (hypertension, diabetes , liver or kidney diseases) * complication during surgery as( bleeding, intestinal injury or urinary bladder injury ) .Emergency cesarean section . * general anesthesia * multiple pregnancy Methodology in details: 1. all Women included in the study have undergo history taking and general examination 2. All patient in the study are randomized in two groups: Group A: 103 patients will have early postoperative oral fluids and semisolid food after 6 hours of cesarean section irrespective to intestinal sounds ,flatus or stool passage Group B: 97 patient will start oral fluids 6 hours with no solid or semi solid until after passage of flatus or stool 3\_Both groups cesarean section will be held with the same technique: * spinal anethesia * pfennenstiel imcision * lower segment cesarean section * suturing uterus in two layers while exterionezed * gentle manibulation * no towels in gutters will be used 4\_ comparison will be held between both groups according: * postoperative intestinal sounds. * postoperative nausea and vomiting * postoprative abdominal distension * postoperative pain * postoperative ambulation * postoperative ileus * postoperative discharge time from hospital

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