The Effects of Gum Chewing on Bowel Function Recovery Following Cesarean Section

Phase 2

Completed

• Conditions: Paralytic Ileus
• Interventions: Behavioral: Gum chewing

• Registration Number: NCT01131416
• Lead Sponsor: Chiang Mai University

Brief Summary

Following all abdominal surgery, paralytic ileus commonly develops. Surgeons have traditionally withheld postoperative oral intake until the return of bowel function to prevent related complications. Gum chewing can stimulates bowel movement and promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion.

The objectives of this study are to examine effects of adding gum chewing to the conventional postoperative feeding regimen on the return of bowel function, its related complications, and patients' satisfaction.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-05
• Study First Submitted: 2010-05-25
• Study First Submitted QC: 2010-05-26
• Study First Posted: 2010-05-27
• Status Verified: 2011-06
• Primary Completion: 2011-06
• Study Completion: 2011-06
• Last Update Submitted: 2011-06-27
• Last Update Posted: 2011-06-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 100

Inclusion Criteria

• Pregnant women undergoing cesarean delivery

Exclusion Criteria

• Perioperative hyperalimentation
• Recent chemotherapy
• Concurrent bowel surgery
• Previous bowel surgery
• Concurrent bowel obstruction
• History of inflammatory bowel diseases
• Previous abdominal/pelvic radiation
• Postoperative placement of endotracheal tube/nasogastric tube
• Postoperative admission to intensive care unit

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Gum chewing	Gum chewing	Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule

Primary Outcome Measures

Name	Time	Method
Postoperative interval until the first flatus	Up to 7 days after delivery

Secondary Outcome Measures

Name	Time	Method
Postoperative hospital stay	Up to 7 days after delivery
Related complications	Up to 7 days after delivery
Patients' satisfaction	Up to 7 days after delivery
Postoperative interval until the first passage of stool	Up to 7 days after delivery
Clinically significant postoperative ileus	Up to 7 days after delivery

Trial Locations

Locations (1)

Faculty of Medicine, Chiang Mai University; 🇹🇭 Chiang Mai, Thailand