Oral Feeding after Cesarean Section | Chapter 23 | New Horizons in Medicine and Medical Research Vol. 4

 The goal of this study was to examine the return of bowel motions in spinally sedated women who had a caesarean section (LSCS) and were given Early Oral Feeding (EF) vs those who were given Late Oral Feeding (LOF) (LF). Maternal satisfaction and gastrointestinal problems were also looked at as secondary outcomes.

Methods: 362 singleton pregnant women undergoing elective LSCS with spinal anaesthesia were randomly assigned to receive either EF or LF in a prospective randomised controlled experiment. Participants began eating normal diet between 6 and 12 hours after surgery, or began sipping water after 12 hours, soft diet after 24 hours, and then regular diet after 48 hours.

The study included 183 women in the EF group and 179 women in the LF group. The participants' ages ranged from 19 to 47, with a median of 35. There was no loss in follow-up, and patient characteristics were not significantly different. Patients who received EF were more likely than those who received LF to have bowel sounds the next morning (EF 93 percent , LF 71 percent , P 0.032). However, there was no change in the time it took to pass flatus and faeces. The EF group had considerably higher maternal satisfaction (EF 5, LF 2.11.1, P 0.026). There was no difference between the groups in terms of gastrointestinal problems (P 0.786).

Conclusion: The results of this study back up the use of EF for women undergoing straightforward LSCS under spinal anaesthesia.

Author(S) Details

Mohammad Othman
Department of Obstetrics and Gynaecology, Fakeeh College of Medical Sciences, Jeddah, Saudi Arabia.

Basil M. Othman
Al-Rayan Medical College, Madinah, Saudi Arabia.


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