Early feeding compared with on patient demand feeding after planned Caesarean delivery

Not Applicable

Completed

• Conditions: Caesarean section; Pregnancy and Childbirth; Single delivery by caesarean section

• Registration Number: ISRCTN38433923
• Lead Sponsor: niversity of Malaya (Malaysia)

Brief Summary

1. 2016 results in https://www.ncbi.nlm.nih.gov/pubmed/27418179 (added 22/01/2019)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2012-10-08
• Study Completion: 2013-08-23
• Last Update Posted: 11 February 2019

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 443

Inclusion Criteria

1. Admitted for a planned caesarean delivery
2. Age = 18 years
3. Spinal anaesthesia
4. Singleton viable pregnancy
5. Gestation = 37 weeks

Exclusion Criteria

1. Major placenta praevia
2. No concurrent severe medical problems
3. Complicated Caesarean delivery
3.1. Significant intra-abdominal adhesions
3.2. Blood loss > 800 ml
3.3. Bowel, bladder or ureteric injury
3.4. Myomectomy
3.5. Hysterectomy
3.6. Significant adnexal surgery
4. Atonic uterus during Caesarean
5. Adherent placenta
6. Ongoing concern about post Caesarean haemorrhage
7. Any intra-operative development precluding early feeding as identified by provider
8. Magnesium sulphate infusion

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> 1. Patient satisfaction using a 10 cm Visual Analog Scale (VAS)<br> 2. Vomiting episodes in the first 24 hours post operation<br>

Secondary Outcome Measures

Name	Time	Method
<br> 1. Nausea Verbal Numerical Rating Scale (VNRS) score at 8, 16 and 24 hours<br> 2. Bloating VNRS score at 8, 16 and 24 hours<br> 3. Pain VNRS score at 8, 16 and 24 hours<br> 4. Passage of first flatus<br> 5. First bowel sound<br> 6. Anti-emetic use post delivery<br> 7. Time to mobilization<br> 8. Time to removal of urinary catheter/passing urine<br> 9. Length of hospital stay<br> 10. Additional analgesia in first 24 hours<br><br> Questionnaire at 24 hours:<br> 1. Recommend feeding regimen to a friend: 5-point Likert scale<br> 2. In a future Caesarean: prefer to be fed as soon as possible/at my own pace<br>