Effect of Coffee Consumption on Pain and Intestinal Motility After Caesarean Section:

Not Applicable

Completed

• Conditions: Cesarean Section; Operation

• Registration Number: NCT06359223
• Lead Sponsor: TC Erciyes University

Brief Summary

Objective The aim of this study was to investigate whether postoperative coffee intake affects pain levels and bowel motility in women undergoing cesarean delivery.

Design: It will be conducted as a randomized controlled experimental study. Method: It is a randomized controlled experimental study: This randomized controlled clinical trial will be conducted between May and December 2024 in accordance with the Consolidated Standards of Reporting Trials. A total of 60 women will be randomly assigned to the intervention group (n=30) or the control group (n=30). Participants in the intervention group will receive 100 mg caffeine in coffee at 6 and 12 hours after surgery in addition to routine postoperative care. The control group will receive only routine postoperative care. Pain will be assessed using Visual Analog Scale (VAS) and bowel activity will be monitored by time to first defecation, gas passage and bowel sounds.

Keywords: Caesarean section, Coffee, Pain, Motility

Detailed Description

Cesarean section is one of the most common surgical operations in obstetrics and gynecology. While the caesarean section rate is 25-40% in developed countries such as the United States, Ireland, England and China, this rate is 48% in Turkey. For this reason, post-cesarean pain and delayed bowel motility are among the common problems due to the surgical intervention. Post-cesarean pain can delay return to normal daily activities and negatively affect the mother\'s psychological health, breastfeeding, and mother-infant bonding. In addition to pain, delayed bowel motility due to changes in the autonomic nervous system is among the most common problems experienced after cesarean section. Appropriate health care provided by medical personnel during the postpartum period can enable the woman to be discharged early. Therefore, non-invasive, low-cost and uncomplicated methods should be preferred to reduce pain in the postoperative period and ensure the first spontaneous passing of gas and early defecation. In the literature review, although there is no study determining the effect of drinking coffee on pain in the postoperative period, there are studies stating that coffee can contribute to early GI motility in the postoperative period after abdominal surgery and shorten the time for passing gas, defecation and discharge. Therefore, this research will be conducted as a randomized controlled experimental study with the aim of minimizing the problems that the mother and the newborn may experience in the postpartum period by eliminating the negative symptoms related to postpartum pain and delayed intestinal motility.

Study Timeline

• Study First Submitted: 2024-04-01
• Study First Submitted QC: 2024-04-05
• Study First Posted: 2024-04-11
• Study Start: 2024-05-20
• Primary Completion: 2024-09-15
• Study Completion: 2024-12-30
• Status Verified: 2025-07
• Last Update Submitted: 2025-07-09
• Last Update Posted: 2025-07-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 57

Inclusion Criteria

• had a cesarean delivery with spinal anesthesia,
• had a postoperative pain level of 4 or higher,
• could read and write Turkish,
• could communicate effectively with the researchers.

Exclusion Criteria

• Those who underwent emergency cesarean section,
• Those with pregnancy complications (e.g., preeclampsia, gestational diabetes, placenta previa),
• Those with a history of chronic gastrointestinal disease (e.g., irritable bowel syndrome, Crohn's disease, ulcerative colitis),
• Those with caffeine sensitivity or allergy,
• Those with chronic pain syndrome or analgesic dependence,
• Those who regularly consume coffee (≥2 cups per day),
• Those who experienced intraoperative complications (e.g., bowel or bladder injury),
• Those who could not comply with the study protocol.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Postoperative Pain	6 hour	The visual analog scale (VAS ) is a scale with different names at both ends on a 10 cm long vertical or horizon line. In this study, evaluation was made as "0 = no pain" and "10 = the most severe pain".
intestinal motility	24 hour	24 hour. The patient's bowel sounds will be listened to during the hours

Trial Locations

Locations (1)

KTO Karatay Unıversty; 🇹🇷 Konya, Karatay, Turkey