Effect of Acupressure on Recovery of Bowel Function in Patients Post Cesarean Section

Study Overview
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Brief Summary
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Research objectives To compare the efficacy of acupressure with no acupressure to examine time to first flatus in patient post cesarean section ; Acupressure at ST-36 Zusanli (lateral to anterior crest of tibia, in the tibialis anterior muscle) Research hypothesis Patients who received acupressure will have earlier flatus passage

Detailed Description
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Research design Randomized controlled trial. Compare between The investigators is who assess the acupressure with control group is the participants do not assess the acupressure

Official Title
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Effect of Acupressure on Recovery of Bowel Function in Patients Post Cesarean Section

Conditions
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Acupressure, Post-Op Complication, Cesarean Section, Bowel Ileus

Intervention / Treatment
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* Device: Acupressure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnancy woman age 18-45 years General anesthesia Co-operate in research Can speak in thai language Exclusion Criteria: Twin pregnancy Placenta previa Placental abruption Chorioamnionitis Complication intraoperation (Bowel or bladder injury) Post partum hemorrhage Abdominal adhesion Opertative time more than 2 hour History gastrointestinal surgery Prior acupressure Neurological disease Neuromuscular disease Hepatic disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Acupressure<br>Acupressure after cesarean section 3 hr and then next 3 hr (duration 10 min per time) Acupressure at below knee the point ai locate about4 finger spcae below patella on the lateral side of tibia bone | Device: Acupressure<br>* Acupressure after cesarean section 3 hr and then next 3 hr (duration 10 min per time)<br>|
| No Intervention: No acupressure<br>Standard post-operative care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To study the duration of the first time to flatus passage in post cesaren section patient | the duration ; hour after post cesaren section | through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To study the duration of the first time to have bowel sound in post cesaren section patient | the duration ; hour after post cesaren section | through study completion, an average of 1 year | 
| To study the duration of the first time to pass stool in post cesaren section patient | the duration ; hour after post cesaren section | through study completion, an average of 1 year | 
| To study the symptomatic about Nausea/vomiting in post cesaren section patient | Score; mild,moderate,severe | mild |