Early Versus Traditional Oral Hydration After Cesarean Section

Ain Shams University2 enrolled

Overview

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

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Gastrointestinal Motility and Defecation Conditions

Interventions

Early HydrationOTHER

this group will start oral hydration within 1 hour after cesarean section

Traditional Oral HydrationOTHER

this group will start oral hydration 6 hours after cesarean section

Eligibility

Sex: FEMALEHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 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. Exclusion Criteria: * 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

Locations (1)

Ain Shams Maternity Hospital

Cairo, Egypt

Outcomes

Primary Outcomes

audible intestinal sounds

auscultation of intestinal sounds hourly for the first 12 hours after cesarean section

Time frame: first 12 hours after cesarean section

Secondary Outcomes

postoperative anorexia, nausea and vomiting

recording the incidence of git upset symptoms in the first 24 hours after cesarean section

Time frame: first 24 hours after cesarean section

time for first breast feeding

recording the time of first breast-feed

Time frame: first 24 hours after cesarean section

abdominal distension

recording the incidence of abdominal distension after cesarean section

Time frame: first 24 hours after cesarean section

amount of given intravenous fluids

recording amount in ml of given iv fluids

Time frame: up to 24 hours after cesarean section

need for pain analgesics

recording the amount of pain analgesia needed after cesarean section

Time frame: up to 24 hours after cesarean section

length of hospital stay

recording the length of patients' stay at hospital

Time frame: up to 48 hours after cesarean section

satisfaction measured with a visual analogue scale before patient discharge

measuring satisfaction level after cesarean section

Data from ClinicalTrials.gov

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