Cesarean Section Complications
Conditions
Keywords
enhanced recovery after surgery, low-residue diet, obstetrics, perioperative management, cesarean section, postoperative ileus
Brief summary
The aim of the present study was to evaluate the efficacy of preoperative low-residue diet on postoperative ileus in women undergoing elective cesarean section. It is a surgeon-blind, randomized controlled trial enrolling pregnant women at ≥39 weeks of gestation undergoing elective cesarean section. Patients were preoperatively randomized to receive either low-residue diet (arm A) or free diet (arm B) starting from three days before surgery. The primary outcome was the postoperative ileus at 24 hours after surgery. The secondary outcomes were the postoperative pain (assessed through VAS scale), the quality of the surgical field (scored using a 5-point scale, from poor to excellent), postoperative complications, and the length of hospital stay. Perioperative data were collected and compared between groups.
Interventions
DIETARY_SUPPLEMENTLow-residue diet
Patients received clear explanations, practical schemes, and a list of allowed foods, tailored to fit individual needs.
DIETARY_SUPPLEMENTFree diet
Patients had free diet.
Sponsors
University of Roma La Sapienza
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pregnant women at ≥39 weeks of gestation scheduled for elective cesarean section at the Department of Gynecology of Policlinico Umberto I (Sapienza University of Rome) who gave written informed consent.
Exclusion criteria
* Urgent/emergent surgery * Patients with gastrointestinal disorders * Complicated pregnancy (e.g., active infection, placental adhesive disorders, hypertensive disorders), which would potentially prolong their hospitalization * Incomplete medical records.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants who have passage of flatus within the first 24 hours after caesarean section. | 24 hours after surgery | The primary outcome was postoperative ileus at 24 hours after caesarean section, the passage of flatus within the first 24 hours after caesarean section. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 12, 24, and 48 hours after surgery | Postoperative pain at 12, 24 and 48 hours postoperatively, assessed using the Visual Analogue Scale scale. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. |
| Postoperative complications | 24-48 hours after surgery | Postoperative complications were classified according Clavien-Dindo classification system used to describe grade I-IV postoperative complications. |
| Quality of the surgical field | Intraoperatively | The degree of small and large bowel preparation and the overall appropriateness of the surgical field was assessed by the surgeon using a 5-point scale (poor, sufficient, medium, good, excellent), based on the Leiden-surgical rating scale. |
Countries
Italy
Outcome results
None listed