Early Versus Traditional Oral Hydration after Cesarean Section

Document Type : Review Article

Authors

1 Ain Shams Maternity Hospital

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Ain-Shams University, Cairo, Egypt

Abstract

Background: Traditionally, patients are not given fluids or food after surgery until bowel functions returns.
Aim: To evaluate prospectively benefits and safety of ear1y hydration on bowel movement after CS.
Materials and Methods: The current study was carried out at Ain Shams University Maternity Hospital on (290) pregnant women with term singleton pregnancy, uncomplicated Elective LSCS, time of CS doesn't exceed 90 Minutes, average blood loss during and after CS. All patients will be under spina1 anesthesia, during a period from March 01 to June 30, 2018.
Results: The current study showed that among study groups: time to first intestinal sounds and time to first bowel movement were significantly shorter in early group (3.8 ± 1.0 and 10.0 ± 1.9, respectively) compared to (8.1±1.7 and 15.0±2.1, respectively) in traditional group. Also, amount of given IV fluids was significantly lower (2000ML) compared to (3250ML) in traditional group. No cases of paralytic ileus had been recorded among study groups.
Conclusion: Early oral hydration after C.S was beneficial and safe on bowel movement, associated with faster return of bowel sounds, shorter time to bowel movement, less pain perception, higher satisfaction, less post-operative distension and earlier discharge.
Recommendations: Early oral hydration can be conducted safely after CS. More population should be investigated for more global evaluation.

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