The Effect Of Immediate Versus Early Oral Hydration On Caesarean Section Post Operative Outcomes

Study Overview
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Brief Summary
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The aim of this study is to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated Caesarean section

Detailed Description
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The aim of this study is to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated Caesarean section on the following post-operative outcomes: Post-operative nausea, vomiting, abdominal distention and abdominal cramps. Return of intestinal movements. Duration of intravenous fluid administration. Duration of hospital stay. Participant satisfaction

Official Title
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The Effect Of Immediate Versus Early Oral Hydration On Caesarean Section Post Operative Outcomes

Conditions
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Cesarean Section

Intervention / Treatment
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* Dietary Supplement: Immediate hydration
* Dietary Supplement: Early hydration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Uncomplicated pregnancy. Uncomplicated elective or emergency Caesarean section under regional anesthesia Exclusion Criteria: • Having medical disorders in the form of: hypertension, DM, and Hepatic disorders. Having bleeding disorders. Having intraoperative bowel or bladder injury. Having intraoperative or immediate postoperative severe bleeding. Having chronic gastrointestinal problems, like chronic constipation, peptic ulcer, esophagitis, hiatus hernia or irritable bowel syndrome. Having abdominal adhesions

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Immediate hydration<br>They will be allowed to start oral fluids immediately (within the first 2 hours post operatively) beginning with water or clear fluids (but not milk or soda containing drinks), the amounts will be according to their needs, solid food will be given gradually after tolerating the drinks and intravenous fluids will be given beside all of that and till the return of intestinal movements. | Dietary Supplement: Immediate hydration<br>* They will be allowed to start oral fluids immediately (within the first 2 hours post operatively) beginning with water or clear fluids (but not milk or soda containing drinks), the amounts will be according to their needs, solid food will be given gradually after tolerating the drinks and intravenous fluids will be given beside all of that and till the return of intestinal movements<br>|
| Active Comparator: Early hydration<br>They will receive the routine intravenous fluids and the oral fluids will be given after 8 hours post operatively and gradually, solid food will be allowed after that gradually too and the intravenous fluids will be stopped after return of intestinal movements. | Dietary Supplement: Early hydration<br>* They will receive the routine intravenous fluids and the oral fluids will be given after 8 hours post operatively and gradually, solid food will be allowed after that gradually too and the intravenous fluids will be stopped after return of intestinal movements.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postpartum vomiting | through a questionnaire patients were asked if they had vomiting or not and the nomber of attacks of vomitting | 48 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Return of intestinal movements | through physical examination and auscultation of the intestinal sounds | 24 hours | 
| Duration of intravenous fluid administration |  | 24 hours | 
| Duration of hospital stay |  | 48 hours | 
| Participant satisfaction | through a questionnaire patients were asked about degree of satisfaction 1- satisfied 2- neutral 3- not satisfied | 48 hours |