Post Operative Feeding After Cesarean Section

Study Overview
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Brief Summary
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3 different post ceseraen secton feeding regmen are compared

Detailed Description
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300 women admitted to the labor and delivery unit in kasr Elainy teaching hospital, Following the decision to perform a cesarean section because of obstetric indications. The study involved only elective cesarean sections. The 300 patients participated in this work and will be randomly and equally divided into three groups: Group A : It consists of 100 patients that will be allocated for early post-operative oral feeding receiving water and clear fluid approximately 2 hours after surgery, followed by soft food and regular diet 4 hours later irrespective to intestinal sounds, flatus or stool. Group B : It consists of 100 patients that will be allocated for early Postoperative oral feeding receiving water and clear fluid approximately 2 hours after surgery till the return of intestinal sounds, then soft food and regular diet later on. Group C : It consists of 100 patients that will receive no oral feeding till passage of flatus instead 2 to 3 Litres of intravenous fluid will be used for feeding. Water and fluid will be then offered, followed by soft foods and then a regular diet.

Official Title
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A Randomized Controlled Study of Early Versus Delayed Oral Post Operative Feeding After Cesarean Section

Conditions
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Feeding Patterns

Intervention / Treatment
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* Other: timming of feeding


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Maternal age from 20 to 40. Primigravida and previous 1 or two cesarean section. Elective cesarean section. Regional anaesthesia. Singleton pregnancy Exclusion Criteria: Medical disorders as (sever preeclampsia, diabetes, liver or kidney diseases). Intraoperative intestinal injury. Previous major abdominal surgery except cesarean section. Obstructed labor with

Ages Eligible for Study
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Minimum Age: 20 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: fluid and soft food<br>It consists of 100 patients that will be allocated for early post-operative oral feeding receiving water and clear fluid approximately 2 hours after surgery, followed by soft food and regular diet 4 hours later irrespective to intestinal sounds, flatus or stool. | Other: timming of feeding<br>* post-operative oral feeding receiving water and clear fluid after surgery, followed by soft food and regular diet<br>|
| Active Comparator: fluid only<br>It consists of 100 patients that will be allocated for early Postoperative oral feeding receiving water and clear fluid approximately 2 hours after surgery till the return of intestinal sounds, then soft food and regular diet later on. | Other: timming of feeding<br>* post-operative oral feeding receiving water and clear fluid after surgery, followed by soft food and regular diet<br>|
| Active Comparator: Npo<br>It consists of 100 patients that will receive no oral feeding till passage of flatus instead 2 to 3 Litres of intravenous fluid will be used for feeding. Water and fluid will be then offered, followed by soft foods and then a regular diet. | Other: timming of feeding<br>* post-operative oral feeding receiving water and clear fluid after surgery, followed by soft food and regular diet<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| duration minutes till return of bowel sound | hearing of intestinal sound | time interval in minutes from the end of surgery till the return of intestinal sound | 
| maternal satisfaction from time of initiation of oral feeding after caesarean section. | Assessment of patient satisfaction before discharge from hospital using visual analogue scale. | before discharge from hospital (range of 24 hours) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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early feeding ,late feeding