Feeding Patterns
Conditions
Keywords
early feeding ,late feeding
Brief summary
3 different post ceseraen secton feeding regmen are compared
Detailed description
300 women admitted to the labor and delivery unit in kasr Elainy teaching hospital, Following the decision to perform a cesarean section because of obstetric indications. The study involved only elective cesarean sections. The 300 patients participated in this work and will be randomly and equally divided into three groups: 1. Group A : It consists of 100 patients that will be allocated for early post-operative oral feeding receiving water and clear fluid approximately 2 hours after surgery, followed by soft food and regular diet 4 hours later irrespective to intestinal sounds, flatus or stool. 2. Group B : It consists of 100 patients that will be allocated for early Postoperative oral feeding receiving water and clear fluid approximately 2 hours after surgery till the return of intestinal sounds, then soft food and regular diet later on. 3. Group C : It consists of 100 patients that will receive no oral feeding till passage of flatus instead 2 to 3 Litres of intravenous fluid will be used for feeding. Water and fluid will be then offered, followed by soft foods and then a regular diet.
Interventions
post-operative oral feeding receiving water and clear fluid after surgery, followed by soft food and regular diet
Sponsors
Study design
Eligibility
Inclusion criteria
* Maternal age from 20 to 40. * Primigravida and previous 1 or two cesarean section. * Elective cesarean section. * Regional anaesthesia. * Singleton pregnancy
Exclusion criteria
* Medical disorders as (sever preeclampsia, diabetes, liver or kidney diseases). * Intraoperative intestinal injury. * Previous major abdominal surgery except cesarean section. * Obstructed labor with
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| duration minutes till return of bowel sound | time interval in minutes from the end of surgery till the return of intestinal sound | hearing of intestinal sound |
| maternal satisfaction from time of initiation of oral feeding after caesarean section. | before discharge from hospital (range of 24 hours) | Assessment of patient satisfaction before discharge from hospital using visual analogue scale. |