Outcomes of Early Versus Delayed Oral Feeding After Elective Cesarean Section in a Teaching Hospital in Ghana.
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 170
- 试验地点
- 1
- 主要终点
- post-operative ileus
研究概览
简要总结
study compares the outcomes of feeding mothers early (4 hours ) after cesarean section compared to delayed feeding (on post operation day 1) in terms of gastrointestinal function and maternal satisfaction with the feeding schedule.
详细描述
patients who are scheduled to undergo elective cesarean section are randomised to two groups, one group will be allowed to feed 4 hours after cesarean section while the other group will be fed traditionally by feeding on the first post op day. gastrointestinal signs and symptoms will be measured such as post operative ileus, vomiting, nausea, abdminal distension. other parameters to be measured include time to ambulate out of bed after surgery, time to start breastfeeding after surgery. satisfaction with both feeding regimes will be assessed after surgery and the incedence of wound infecion will be compared between the two groups after two weeks durung the post natal review.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- — 至 49 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Uncomplicated elective Cesarean sections performed under regional anaesthesia without extensive intra operative bowel adhesions.
- •Women who give consent to participate in the study.
排除标准
- •Elective Cesarean sections complicated by severe haemorrhage, bowel injury requiring bowel manipulation, repair, resection and anastomosis or colostomy.
- •Women who require a Cesarean hysterectomy. Women who require a Post-partum hysterectomy. Mothers with severe pre-eclampsia. Mothers with sickle cell disease. Mothers with pregestational or gestational diabetes. Mothers who have been scheduled for Cesarean section and require general anaesthesia.
- •Women who have had a previous laparotomy other than a Cesarean section.
结局指标
主要结局
post-operative ileus
时间窗: within 3 days after surgery
onset of vomiting \>4 times per day
次要结局
- Time of initiation of breastfeeding post operatively(within 3 days after surgery)
- Woman's satisfaction(within 3 days after surgery)
- Crampy abdominal pain(within 3 days after surgery)
- Time of ambulation out of bed after surgery(within 3 days after surgery)
- Incedence of a wound infection(within 2 weeks of surgery)