Early Versus Late Hydration After Cesarean Section (CS)

Not Applicable

Completed

• Conditions: Gastrointestinal Motility and Defaecation Conditions
• Interventions: Other: Delayed oral hydration; Other: Early oral hydration

• Registration Number: NCT02630810
• Lead Sponsor: Ain Shams Maternity Hospital

Brief Summary

This study evaluates the effect of early oral hydration on bowel movement after CS, it includes 2 groups: study group participants receive 100 ml water after 1hr from the end of CS, while the others receive water after 6hrs from the end of CS.

Detailed Description

Traditionally, oral intake after CS was depend on insurance of intestinal movement, since uncomplicated CS does not affect the intestine and the mother needs to care of her infants, lactates, discharged from hospital, early oral hydration may enhance bowel movement, so the investigators need to evaluate the safety of early oral hydration after CS.

This study compare the effects of introducing water during the 1st hour or after 6 hours on bowel movement after CS.

Study Timeline

• Study Start: 2015-01
• Status Verified: 2015-12
• Primary Completion: 2015-12
• Study Completion: 2015-12
• Study First Submitted: 2015-12-10
• Study First Submitted QC: 2015-12-14
• Last Update Submitted: 2015-12-14
• Study First Posted: 2015-12-15
• Last Update Posted: 2015-12-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 267

Inclusion Criteria

• uncomplicated elective or emergency lower segment Caesarean section
• average blood loss during and after cs
• regional anaesthesia
• primary or recurrent CS

Exclusion Criteria

• surgical complications esp; intestinal injury
• postpartum hemorrhage
• medical disorder with pregnancy eg. hypertension, diabetes mellitus
• factors that may increase risk of postpartum hemorrhage as twins pregnancy, polyhydramnios and anemia

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Delayed oral hydration	Delayed oral hydration	Oral intake of 100 ml clear unsweetened water after 6 hours from the end of CS then upon patient's request,then starting semisolid, solid food when participant passed flatus.
Early oral hydration	Early oral hydration	Early oral intake of 100 ml clear unsweetened water 1 hour following the Cesarean Section, then upon patient's desire, then starting semisolid, solid food when participant passed flatus.

Primary Outcome Measures

Name	Time	Method
Time to 1st audible intestinal sound	First 12 hours after Cesarean Section	Auscultating intestinal sounds (using stethoscope) hourly for the first 12 hours after Cesarean Section till intestinal sounds are audible.

Secondary Outcome Measures

Name	Time	Method
Time to passage of first flatus	Up to 48 hours following the Cesarean Section	Recording the timing of passage of first flatus following Cesarean Section (up to the first 48 hours).
Time to first bowel motion	Up to 3 days (72 hours) following Cesarean Section	Recording the first time the pass stools after cesarean section (up to the first 72 hours).
time to 1st breast feed	First 24 hours after the Cesarean Section	Recording the first time to breastfeed after cesarean section (up to the first 24 hours).

Trial Locations

Locations (1)

Ain Shams Maternity Hospital; 🇪🇬 Cairo, Egypt