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IRCT138902222265N1 IRCT 2010-07-03 Deputy of research, Shahrekord University of Medical Sciences Comparing early initiation of oral feeding and Gum Chewing on the Return of Bowel Function in elective Cesarean-Delivery Patients in primiparous women, Hajar hospitral, Shahrekord, 2007 Effect of early initiation of oral feeding and Gum Chewing on the Return of Bowel Function in elective Cesarean-Delivery 2008-04-08 anticipated 180 Complete https://irct.ir/trial/1897 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment. N/A ileus. Intervention 1: Routine post-op care: in control group after the appearance of bowel sounds oral hydration started and then a gradual shift to the regular diet was adopted. Intervention 2: patient in the gum chewing group chewed sugarless gum one stick 4 times per day as soon as they recovered from anesthesia till the time they passed flatus or defected. Intervention 3: Oral hydration started with sips of Juice or tea 4-h postsurgury irrespective of presence of bowel sounds. soft diet was started after bowel sounds was appeared.
public Faranak Safdari Decheshmeh
Midwifery and Nursing Department, Shahrekord University of Medical Sciences, Rahmatie
Shahrekord Iran (Islamic Republic of) +98 38 1333 5648 faranaksafdari@gmail.com Shahrekord University Of Medical Science scientific Faranak Safdari Decheshmeh
Midwifery and Nursing Department, Shahrekord University of Medical Sciences, Rahmatie
Shahrekord Iran (Islamic Republic of) +98 38 1333 5648 faranaksafdari@gmail.com Shahrekord University Of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: Uncomplicated term singleton pregnancies undergoing a planned caesarean section performed under regional anaesthesia and by an gynecologist, transverse (horizontal) incision, At least NPO for 8 hour before surgery, Received the maximum four doses of antibiotic prophylaxis, Exclusions criteria: History of abdominal surgery or cesarean section, preeclampsia, diabetes, heart disease, being at risk for incidence of aspiration or ileuses, postoperative complications such as uterine atonia, intra operative complications such as severe adhesions and blood transfusion during surgery, surgery lasted more than 90 minutes, discharged with personal willing despite physician’s decision, intolerance liquid diet, presence of nausea and vomiting, receiving magnesium sulfate, history of malignancy, obstructive or inflammatory bowel diseases and injuries, excessive bowel manipulation, inability to chew gum. 18 years 40 years Female k00, k93, Diseases of the digestive system, Paralytic ileus Treatment - Other Treatment - Other Treatment - Other Routine post-op care: in control group after the appearance of bowel sounds oral hydration started and then a gradual shift to the regular diet was adopted patient in the gum chewing group chewed sugarless gum one stick 4 times per day as soon as they recovered from anesthesia till the time they passed flatus or defected. Oral hydration started with sips of Juice or tea 4-h postsurgury irrespective of presence of bowel sounds. soft diet was started after bowel sounds was appeared Flatus passing. Timepoint: Every hour. Method of measurement: Asking from patients. Gas passing. Timepoint: Every hour. Method of measurement: Asking from patients. Hearing bowel sound. Timepoint: Every hour. Method of measurement: Hearing of bowel sound by stetoscope. Sensation of bowel movement. Timepoint: Every hour. Method of measurement: Asking from patients. NAUSEA. Timepoint: PER ONE HOUR. Method of measurement: QUESITION FROM PATIENT. Vomiting. Timepoint: Every hour. Method of measurement: Asking from patients. Deputy of research, Shahrekord University of Medical Sciences Approved 2008-02-20 Shahrekord University of Medical Sciences Shahrekord University of Medical Sciences, Rahmatie, Shahrekord Shahrekord Iran (Islamic Republic of)