Early Versus Traditional Oral Hydration After Cesarean Section

Study Overview
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Brief Summary
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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

Detailed Description
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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

Official Title
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Early Versus Traditional Oral Hydration After Cesarean Section; A Randomized Clinical Trial

Conditions
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Gastrointestinal Motility and Defecation Conditions

Intervention / Treatment
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* Other: Early Hydration
* Other: Traditional Oral Hydration


Participation Criteria
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Eligibility Criteria
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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
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 Hydration Group<br>this study group will get 200 ml of sugar free water within 1 hour after cesarean section followed by oral hydration as per patients' desire then starting semisolid and solid foods when patients are open bowel Intervention: Early Oral Hydration | Other: Early Hydration<br>* this group will start oral hydration within 1 hour after cesarean section<br>* Other names: Early Oral Hydration;|
| Active Comparator: Traditional Hydration Group<br>this study group will get 200 ml of sugar free water after 6 hours after cesarean section followed by oral hydration as per patients' desire then starting semisolid and solid foods when patients are open bowel Intervention: Traditional Oral Hydration | Other: Traditional Oral Hydration<br>* this group will start oral hydration 6 hours after cesarean section<br>* Other names: Delayed Oral Hydration;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| audible intestinal sounds | auscultation of intestinal sounds hourly for the first 12 hours after cesarean section | first 12 hours after cesarean section | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative anorexia, nausea and vomiting | recording the incidence of git upset symptoms in the first 24 hours after cesarean section | first 24 hours after cesarean section | 
| time for first breast feeding | recording the time of first breast-feed | first 24 hours after cesarean section | 
| abdominal distension | recording the incidence of abdominal distension after cesarean section | first 24 hours after cesarean section | 
| amount of given intravenous fluids | recording amount in ml of given iv fluids | up to 24 hours after cesarean section | 
| need for pain analgesics | recording the amount of pain analgesia needed after cesarean section | up to 24 hours after cesarean section | 
| length of hospital stay | recording the length of patients' stay at hospital | up to 48 hours after cesarean section | 
| satisfaction measured with a visual analogue scale before patient discharge | measuring satisfaction level after cesarean section | first 6 hours after cesarean section | 
| time to first flatus | recording the time at which the patient had its first flatus | up to 48 hours after cesarean section | 
| time to first bowel movement | recording the time at which the patient had her first bowel motion | up to 72 hours after cesarean section | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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bowel movements, cesarean section, oral hydration