Early post-operative feeding after caesarean delivery.
The objective of this trial was to evaluate the safety and efficacy of early oral feeding after Caesarean delivery performed under general anaesthesia. During a 1-year period, 182 pregnant women undergoing Caesarean section under general anaesthesia were enrolled in a controlled trial of early compared with traditional post-operative oral feeding. Patients were allocated to early feeding of low-residue diets 6 h post-operatively (n = 95) or traditional dietary management of clear liquids once normal bowel sounds were heard (n = 87). Demographic data, post-operative and intra-operative complications and gastrointestinal symptoms were evaluated. Age, gravidity, parity, gestational age, surgery length and post-operative incidence of ileus were similar in the early- and traditional-feeding groups. Time to development of bowel sounds, time to initiation of oral intake and hospital stay were significantly shorter in the early-feeding group. Complications including wound infection, blood transfusion and febrile morbidity occurred at a similar rate in each group. Early post-operative feeding in women undergoing Caesarean section is safe and well tolerated.
Göçmen
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Department of Obstetrics and Gynaecology, Kayseri Maternity Hospital, Kayseri, Turkey. gocmenahmet@yahoo.com
Göçmen
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Saraoğlu
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D000328:Adult; D000768:Anesthesia, General; D002585:Cesarean Section; D004068:Digestive System Physiological Phenomena; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D011247:Pregnancy; D012449:Safety; D013997:Time Factors