Early Versus Traditional Oral Hydration After Cesarean Section

Not Applicable

Completed

• Conditions: Gastrointestinal Motility and Defecation Conditions
• Interventions: Other: Early Hydration; Other: Traditional Oral Hydration

• Registration Number: NCT03442634
• Lead Sponsor: Ain Shams University

Brief Summary

this study helps us to compare and evaluate prospectively the benefits and safety of early hydration on bowel movement after cesarean section it includes two groups, a control group and a study group. the study group will get 200 ml of sugar free water within 1 hour after cs while the control group will get 200 ml of sugar free water 6 hours after cs

Detailed Description

Traditionally, patients are not given fluids or food after cesarean sections until bowel function returns as evidenced by bowel sounds, passage of stool or flatus since , uneventful (uncomplicated) cesarean sections have no effect on intestinal functions and with putting in minds the need of the mother for early hydration , movement , breast feeding and early discharge; that is why we are investigating the effectiveness and safety of early oral hydration after cesarean sections

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2018-02-16
• Study First Submitted QC: 2018-02-21
• Study First Posted: 2018-02-22
• Study Start: 2018-03-01
• Primary Completion: 2018-06-30
• Study Completion: 2018-06-30
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-07
• Last Update Posted: 2018-08-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 2

Inclusion Criteria

• Term Singleton Pregnancy.
• Uncomplicated Elective Cesarean Section.
• Time of Cesarean Section doesn't exceed 90 minutes.
• Average blood loss during and after cesarean section (doesn't exceed 1000cc).
• All patients will be under spinal anesthesia.

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Exclusion Criteria

• Postpartum Hemorrhage.
• Surgical Complications Such as intestinal injury.
• Medical disorders such as Diabetes and Hypertension
• Factors that may influence postpartum blood loss as anemia, multiple pregnancy and polyhydraminos.
• Use of tocolytic drugs

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Early Hydration Group	Early Hydration	this study group will get 200 ml of sugar free water within 1 hour after cesarean section followed by oral hydration as per patients' desire then starting semisolid and solid foods when patients are open bowel Intervention: Early Oral Hydration
Traditional Hydration Group	Traditional Oral Hydration	this study group will get 200 ml of sugar free water after 6 hours after cesarean section followed by oral hydration as per patients' desire then starting semisolid and solid foods when patients are open bowel Intervention: Traditional Oral Hydration

Primary Outcome Measures

Name	Time	Method
audible intestinal sounds	first 12 hours after cesarean section	auscultation of intestinal sounds hourly for the first 12 hours after cesarean section

Secondary Outcome Measures

Name	Time	Method
postoperative anorexia, nausea and vomiting	first 24 hours after cesarean section	recording the incidence of git upset symptoms in the first 24 hours after cesarean section
time for first breast feeding	first 24 hours after cesarean section	recording the time of first breast-feed
need for pain analgesics	up to 24 hours after cesarean section	recording the amount of pain analgesia needed after cesarean section
satisfaction measured with a visual analogue scale before patient discharge	first 6 hours after cesarean section	measuring satisfaction level after cesarean section
time to first flatus	up to 48 hours after cesarean section	recording the time at which the patient had its first flatus
length of hospital stay	up to 48 hours after cesarean section	recording the length of patients' stay at hospital
abdominal distension	first 24 hours after cesarean section	recording the incidence of abdominal distension after cesarean section
amount of given intravenous fluids	up to 24 hours after cesarean section	recording amount in ml of given iv fluids
time to first bowel movement	up to 72 hours after cesarean section	recording the time at which the patient had her first bowel motion

Trial Locations

Locations (1)

Ain Shams Maternity Hospital; 🇪🇬 Cairo, Egypt