The Efficacy of Chewing Gums Versus Laxative in Early Return of Bowel Function After CS

Study Overview
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Brief Summary
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540 consented women for being enrolled in this clinical trial and candidates for elective cesarean section will be divided into 3 groups: Group A, 180 women will receive sugarless gum after their operating room discharge by 3 hours for at least half an hour at two hours interval. Group B, 180 women will receive laxatives after their operating room discharge by 3 hours. Group C, 180 women as control group, they will not receive neither gum nor oral fluids. They will be on intravenous fluid. starting oral fluids after hearing intestinal sounds .

Detailed Description
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540 consented women for being enrolled in this clinical trial and candidates for elective cesarean section will be divided into 3 groups: Group A, 180 women will receive sugarless gum after their operating room discharge by 3 hours for at least half an hour at two hours interval. Group B, 180 women will receive laxatives after their operating room discharge by 3 hours. Group C, 180 women as control group, they will not receive neither gum nor oral fluids. They will be on intravenous fluid. starting oral fluids after hearing intestinal sounds .

Official Title
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The Efficacy of Chewing Gums Versus Laxatives in Early Return of Bowel Function After Cesarean Section

Conditions
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Intestinal Recovery After Cesarean Section

Intervention / Treatment
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* Other: gums
* Drug: picolax drops
* Drug: normal saline


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all women undergoing elective cesarean section in Kasr Al AI Aini hospital will be candidate for this trial after full explanation of the trial and informed consent to be taken from the women. Exclusion Criteria: cesarean hysterectomy, surgical management of severe postpartum hemorrhage previous bowel surgery women with history of drug consumption,especially opioids water and electrolyte disturbances pancreatitis or peritonitis inability to chew gum diabetes, pregnancies accompanied by coagulopathy like pre-eclampsia, hypothyroidism, muscular and neurological disorders postoperative admission to intensive care unit history of abdominal surgery except cesarean section history of postoperative ileus patients with drains

Ages Eligible for Study
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Minimum Age: 18 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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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: chewing gum group<br>180 women will receive sugarless gum after their operating room discharge by 3 hours for at least half an hour at two hours interval | Other: gums<br>* Group A, 180 women will receive sugarless gum after their operating room discharge by 3 hours for at least half an hour at two hours interval.<br>* Other names: non sweet gums;|
| Active Comparator: laxatives group<br>180 women will receive laxatives after their operating room discharge by 3 hours | Drug: picolax drops<br>* Group B, 180 women will receive laxatives after their operating room discharge by 3 hours.<br>|
| Placebo Comparator: control<br>they will not receive neither gum nor oral fluids. They will be on intravenous fluid. starting oral fluids after hearing intestinal sounds | Drug: normal saline<br>* Group C received 500 cc of normal saline, Intravenous fluid<br>* Other names: .9%saline infusion;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| appearance of intestinal sounds postoperative evaluated by stethoscope |  | 4-6 hours after CS | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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chewing gums, laxatives, bowel function