Post Operative Feeding After Cesarean Section
- Conditions
- Feeding Patterns
- Interventions
- Other: timming of feeding
- Registration Number
- NCT04338737
- Lead Sponsor
- Kasr El Aini Hospital
- Brief Summary
3 different post ceseraen secton feeding regmen are compared
- Detailed Description
300 women admitted to the labor and delivery unit in kasr Elainy teaching hospital, Following the decision to perform a cesarean section because of obstetric indications. The study involved only elective cesarean sections.
The 300 patients participated in this work and will be randomly and equally divided into three groups:
1. Group A :
It consists of 100 patients that will be allocated for early post-operative oral feeding receiving water and clear fluid approximately 2 hours after surgery, followed by soft food and regular diet 4 hours later irrespective to intestinal sounds, flatus or stool.
2. Group B :
It consists of 100 patients that will be allocated for early Postoperative oral feeding receiving water and clear fluid approximately 2 hours after surgery till the return of intestinal sounds, then soft food and regular diet later on.
3. Group C :
It consists of 100 patients that will receive no oral feeding till passage of flatus instead 2 to 3 Litres of intravenous fluid will be used for feeding. Water and fluid will be then offered, followed by soft foods and then a regular diet.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 300
- Maternal age from 20 to 40.
- Primigravida and previous 1 or two cesarean section.
- Elective cesarean section.
- Regional anaesthesia.
- Singleton pregnancy
- Medical disorders as (sever preeclampsia, diabetes, liver or kidney diseases).
- Intraoperative intestinal injury.
- Previous major abdominal surgery except cesarean section.
- Obstructed labor with
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description fluid and soft food timming of feeding It consists of 100 patients that will be allocated for early post-operative oral feeding receiving water and clear fluid approximately 2 hours after surgery, followed by soft food and regular diet 4 hours later irrespective to intestinal sounds, flatus or stool. fluid only timming of feeding It consists of 100 patients that will be allocated for early Postoperative oral feeding receiving water and clear fluid approximately 2 hours after surgery till the return of intestinal sounds, then soft food and regular diet later on. Npo timming of feeding It consists of 100 patients that will receive no oral feeding till passage of flatus instead 2 to 3 Litres of intravenous fluid will be used for feeding. Water and fluid will be then offered, followed by soft foods and then a regular diet.
- Primary Outcome Measures
Name Time Method maternal satisfaction from time of initiation of oral feeding after caesarean section. before discharge from hospital (range of 24 hours) Assessment of patient satisfaction before discharge from hospital using visual analogue scale.
duration minutes till return of bowel sound time interval in minutes from the end of surgery till the return of intestinal sound hearing of intestinal sound
- Secondary Outcome Measures
Name Time Method