Comparison of oral intake profiles at 2 and 8 hours following cesarean section under spinal anesthesia

Minoo Yaghmaee; Farshid Arbabi-Kalati; mojgan mokhtari; Arezoo Behzadian

Zahedan Journal of Research in Medical Sciences

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Comparison of oral intake profiles at 2 and 8 hours following cesarean section under spinal anesthesia

Author(s):

Minoo Yaghmaee^1,*,

Farshid Arbabi-Kalati²,

mojgan mokhtari¹,

Arezoo Behzadian³

1Assistant Prof, Dept of Obstetrics and Gynecology, Faculty of Medicine, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran.

2Assistant Prof of Radiotherapy, Dept of Radiology, Faculty of Medicine, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran.

3Resident of Obstetrics and Gynecology, Faculty of Medicine, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran.

Zahedan Journal of Research in Medical Sciences:Vol. 11, issue 4; e94363

Published online:Dec 27, 2009

Article type:Research Article

Received:Oct 18, 2009

Accepted:Dec 12, 2009

How to Cite:Minoo YaghmaeeFarshid Arbabi-Kalatimojgan mokhtariArezoo BehzadianComparison of oral intake profiles at 2 and 8 hours following cesarean section under spinal anesthesia.Zahedan J Res Med Sci.11(4):e94363.

Abstract

Background: After cesarean section, practices vary considerably between institutions and individual practitioners, ranging from early oral fluids or food to delayed introduction of oral fluids and food which may be after 24 hours or more. This study was carried out to assess and compare the outcome, length of hospital stay and maternal satisfaction of early (2 hours) and late (8 hours) postoperative feeding after uncomplicated cesarean section done under spinal anesthesia.

Materials and Methods: In this randomized clinical trial, 112 women undertaking uncomplicated cesarean section under regional anesthesia from August 2008 to August 2009 were randomly assigned to early feeding ( 2 hours after operation) and late feeding (conventional 8 hours after operation) groups. Two groups were compared for the occurrence of postoperative outcome, possible complications, length of hospital stay and patient´s satisfaction. Chi Squared and t-tests were used to analyze the data. Statistical significance was set at p < 0.05.

Results : There were no significant differences in the demographic data and operation variables between the two groups. No significant differences were noted between the groups regarding post feeding nausea and vomiting, post operative ileus and other complications and duration of hospitalization. Compared with the late postoperative feeding, the early feeding group had a shorter mean time to first flatus ( p =0.03) and higher satisfaction rate ( p <0.0001).

Conclusion: Early feeding (2 hours) after uncomplicated cesarean in low-risk woman is associated with higher maternal satisfaction without higher rates of gastrointestinal and non gastrointestinal complications

Keywords

Cesarean section

Spinal anesthesia

Feeding methods

Postoperative complications

Length of stay

Patient satisfaction

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