Early Versus Late Hydration After Cesarean Section (CS)

Study Overview
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Brief Summary
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This study evaluates the effect of early oral hydration on bowel movement after CS, it includes 2 groups: study group participants receive 100 ml water after 1hr from the end of CS, while the others receive water after 6hrs from the end of CS.

Detailed Description
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Traditionally, oral intake after CS was depend on insurance of intestinal movement, since uncomplicated CS does not affect the intestine and the mother needs to care of her infants, lactates, discharged from hospital, early oral hydration may enhance bowel movement, so the investigators need to evaluate the safety of early oral hydration after CS. This study compare the effects of introducing water during the 1st hour or after 6 hours on bowel movement after CS.

Official Title
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Early Versus Late Oral Hydration After Cesarean Section: A Randomized Controlled Study

Conditions
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Gastrointestinal Motility and Defaecation Conditions

Intervention / Treatment
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* Other: Early oral hydration
* Other: Delayed oral hydration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: uncomplicated elective or emergency lower segment Caesarean section average blood loss during and after cs regional anaesthesia primary or recurrent CS Exclusion Criteria: surgical complications esp; intestinal injury postpartum hemorrhage medical disorder with pregnancy eg. hypertension, diabetes mellitus factors that may increase risk of postpartum hemorrhage as twins pregnancy, polyhydramnios and anemia
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Early oral hydration<br>Early oral intake of 100 ml clear unsweetened water 1 hour following the Cesarean Section, then upon patient's desire, then starting semisolid, solid food when participant passed flatus. | Other: Early oral hydration<br>* starting oral hydration 1 hour following Cesarean Section using 100 ml clear water<br>|
| Active Comparator: Delayed oral hydration<br>Oral intake of 100 ml clear unsweetened water after 6 hours from the end of CS then upon patient's request,then starting semisolid, solid food when participant passed flatus. | Other: Delayed oral hydration<br>* starting oral hydration 6 hours following Cesarean Section using 100 ml clear water<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to 1st audible intestinal sound | Auscultating intestinal sounds (using stethoscope) hourly for the first 12 hours after Cesarean Section till intestinal sounds are audible. | First 12 hours after Cesarean Section | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to passage of first flatus | Recording the timing of passage of first flatus following Cesarean Section (up to the first 48 hours). | Up to 48 hours following the Cesarean Section | 
| Time to first bowel motion | Recording the first time the pass stools after cesarean section (up to the first 72 hours). | Up to 3 days (72 hours) following Cesarean Section | 
| time to 1st breast feed | Recording the first time to breastfeed after cesarean section (up to the first 24 hours). | First 24 hours after the Cesarean Section |