Effect of Early Posroperative Feeding on Gastrointestinal Function After Cesarean Section

Study Overview
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Brief Summary
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Two hundred women were recruited, with 103 randomized to traditional feeding and 97 to early feeding and compare women satisfaction during discharge from hospital

Detailed Description
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7. Study Methods Population of study & disease condition : Two hundred women were recruited, with 103 randomized to traditional feeding and 97 to early feeding and compare women satisfaction during discharge from hospital. Inclusion criteria: Maternal age from 20 to 40 Primigravida and previous one or two cesarean section Elective cesarean section regional anesthesia .singleton pregnancy. Exclusion criteria: age below 20 years old or above 40 years old medical disorders as (hypertension, diabetes , liver or kidney diseases) complication during surgery as( bleeding, intestinal injury or urinary bladder injury ) .Emergency cesarean section . general anesthesia multiple pregnancy Methodology in details: all Women included in the study have undergo history taking and general examination All patient in the study are randomized in two groups: Group A: 103 patients will have early postoperative oral fluids and semisolid food after 6 hours of cesarean section irrespective to intestinal sounds ,flatus or stool passage Group B: 97 patient will start oral fluids 6 hours with no solid or semi solid until after passage of flatus or stool 3_Both groups cesarean section will be held with the same technique: spinal anethesia pfennenstiel imcision lower segment cesarean section suturing uterus in two layers while exterionezed gentle manibulation no towels in gutters will be used 4_ comparison will be held between both groups according: postoperative intestinal sounds. postoperative nausea and vomiting postoprative abdominal distension postoperative pain postoperative ambulation postoperative ileus postoperative discharge time from hospital

Official Title
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Effect of Early Posroperative Feeding on Gastrointestinal Function After Cesarean Section

Conditions
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Post Operative Recovery

Intervention / Treatment
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* Procedure: Cesarean section


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Maternal age from 20 to 40 Primigravida and previous one or two cesarean section Elective cesarean section regional anesthesia .singleton pregnancy. Exclusion Criteria: age below 20 years old or above 40 years old medical disorders as (hypertension, diabetes , liver or kidney diseases) complication during surgery as( bleeding, intestinal injury or urinary bladder injury ) .Emergency cesarean section . general anesthesia multiple pregnancy

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| early postoperative feeding<br>103 patients will have early postoperative oral fluids and semisolid food after 6 hours of cesarean section irrespective to intestinal sounds ,flatus or stool passage | Procedure: Cesarean section<br>* Both groups cesarean section will be held with the same technique: spinal anethesia pfennenstiel imcision lower segment cesarean section suturing uterus in two layers while exterionezed gentle manibulation no towels in gutters will be used<br>|
| Late postoperative feeding<br>97 patient will start oral fluids 6 hours with no solid or semi solid until after passage of flatus or stool | Procedure: Cesarean section<br>* Both groups cesarean section will be held with the same technique: spinal anethesia pfennenstiel imcision lower segment cesarean section suturing uterus in two layers while exterionezed gentle manibulation no towels in gutters will be used<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction before discharge from hospital | satisfaction score from 1 to 10 where 1 is totally non satisfied and 10 fully satisfied | 2 days after the operation |