Gum Chewing And Bowel Motility in Patients Undergoing Cesarean Section. Kasr el Ainy Experience.A Randomized Controlled Trial
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Gum Chewing
- Sponsor
- Kasr El Aini Hospital
- Enrollment
- 162
- Locations
- 2
- Primary Endpoint
- the first audible bowel sound in hours
- Last Updated
- 10 years ago
Overview
Brief Summary
The aim of the present study was to evaluate the effect of chewing gum on the recovery of bowel function after cesarean section in women.
Detailed Description
This study Will Be conducted on 162 Patients Undergoing caesarean section in The Obstetrics \& Gynecology Department "kasr el ainy teaching hospital". Methods: Women Were Randomized into Two Groups: Group A (81 Women) Who Received One Stick of Sugarless Gum (Samara for food \& Chocolates Product Company)"S.A.E." , for 15 Minutes Every 2 hours After Surgery Tell Defecation , Group B (81 Women) had Traditional Management (Oral Intake of Clear Fluid Allowed After Passage of Flatus and Regular Diet With The Passage of Bowel Movement. Each Women in Both Groups Was Examined Abdominal Using A Stethoscope Detect The Intestinal Movement Every 4 Hours And Asked to Report Immediately The Time of Either Passing Flatus or stool .
Investigators
Mohamed El-Sharkawy
Lecturer of obstetrics and gynecology
Kasr El Aini Hospital
Eligibility Criteria
Inclusion Criteria
- •Age between 18 - 35 Years.
- •Spinal Anesthesia.
- •Pfannenstiel incision.
Exclusion Criteria
- •History of Drug Consumption Especially Opioids.
- •Water and Electrolyte Disturbances.
- •Pancreatitis.
- •Peritonitis.
- •History of Abdominal Surgery except Cesarean Section.
- •No Willingness to Cooperative.
- •Intra and Sever Post-Operative Complications.
- •Inability to Chew Gum with Drawl.
- •Pre-eclampsia
- •Prolonged Rupture of Membranes.
Outcomes
Primary Outcomes
the first audible bowel sound in hours
Time Frame: 4 months
The First Bowel Sounds (Hours) The First Passage of Flatus (Hours) The First Defection (Hours) The First Bowel Sounds (Hours) The First Passage of Flatus (Hours) The First Defection (Hours) the first auscultation of regular bowel sounds in hours
Secondary Outcomes
- patient satisfaction(4 months)