Early Versus Traditional Oral Hydration After Cesarean Section; A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2
- 试验地点
- 1
- 主要终点
- audible intestinal sounds
研究概览
简要总结
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
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Early Hydration Group
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
干预措施: Early Hydration (Other)
Traditional Hydration Group
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
干预措施: Traditional Oral Hydration (Other)
结局指标
主要结局
audible intestinal sounds
时间窗: first 12 hours after cesarean section
auscultation of intestinal sounds hourly for the first 12 hours after cesarean section
次要结局
- postoperative anorexia, nausea and vomiting(first 24 hours after cesarean section)
- time for first breast feeding(first 24 hours after cesarean section)
- need for pain analgesics(up to 24 hours after cesarean section)
- satisfaction measured with a visual analogue scale before patient discharge(first 6 hours after cesarean section)
- time to first flatus(up to 48 hours after cesarean section)
- length of hospital stay(up to 48 hours after cesarean section)
- abdominal distension(first 24 hours after cesarean section)
- amount of given intravenous fluids(up to 24 hours after cesarean section)
- time to first bowel movement(up to 72 hours after cesarean section)
研究者
Mohamed Hassan Mohamed Mostafa
Obstetrics and Gynaecology Resident
Ain Shams University