Gum Chewing And Bowel Motility in Patients Undergoing Cesarean Section. Kasr el Ainy Experience

Study Overview
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Brief Summary
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The aim of the present study was to evaluate the effect of chewing gum on the recovery of bowel function after cesarean section in women.

Detailed Description
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This study Will Be conducted on 162 Patients Undergoing caesarean section in The Obstetrics & Gynecology Department kasr el ainy teaching hospital. Methods: Women Were Randomized into Two Groups: Group A (81 Women) Who Received One Stick of Sugarless Gum (Samara for food & Chocolates Product Company)S.A.E. , for 15 Minutes Every 2 hours After Surgery Tell Defecation , Group B (81 Women) had Traditional Management (Oral Intake of Clear Fluid Allowed After Passage of Flatus and Regular Diet With The Passage of Bowel Movement. Each Women in Both Groups Was Examined Abdominal Using A Stethoscope Detect The Intestinal Movement Every 4 Hours And Asked to Report Immediately The Time of Either Passing Flatus or stool .

Official Title
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Gum Chewing And Bowel Motility in Patients Undergoing Cesarean Section. Kasr el Ainy Experience.A Randomized Controlled Trial

Conditions
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Gum Chewing, Bowel Function

Intervention / Treatment
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* Biological: sugarless gum
* Other: traditional management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 18 - 35 Years. Spinal Anesthesia. Pfannenstiel incision. Exclusion Criteria: History of Drug Consumption Especially Opioids. Water and Electrolyte Disturbances. Pancreatitis. Peritonitis. History of Abdominal Surgery except Cesarean Section. No Willingness to Cooperative. Intra and Sever Post-Operative Complications. Inability to Chew Gum with Drawl. Diabetes. Pre-eclampsia Prolonged Rupture of Membranes. Hypothyroidism. Muscular and Neurological Disorders.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: gum chewing group.<br>Group A (81 Women) Who Received One Stick of Sugarless Gum (Samara for food & Chocolates Product Company)S.A.E. , for 15 Minutes Every 2 hours After Surgery Tell Defecation | Biological: sugarless gum<br>* One Stick of Sugarless Gum (Samara for food & Chocolates Product Company)S.A.E. , for 15 Minutes Every 2 hours After Surgery Tell Defecation<br>* Other names: Samara Gum;|
| Placebo Comparator: Placebo group<br>Group B (81 Women) had Traditional Management (Oral Intake of Clear Fluid Allowed After Passage of Flatus and Regular Diet With The Passage of Bowel Movement. | Other: traditional management<br>* Traditional Management (Oral Intake of Clear Fluid Allowed After Passage of Flatus and Regular Diet With The Passage of Bowel Movement.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the first audible bowel sound in hours | The First Bowel Sounds (Hours) The First Passage of Flatus (Hours) The First Defection (Hours) The First Bowel Sounds (Hours) The First Passage of Flatus (Hours) The First Defection (Hours) the first auscultation of regular bowel sounds in hours | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient satisfaction | Change From Baseline in Pain on the 11 point Short Pain Scale (SPS-11) | 4 months |