title: Assessment of bowel function in the peripartum period.
abstract: OBJECTIVE
  Obstetric patients frequently experience changes in bowel function, throughout pregnancy and into the postpartum period. Little is known regarding the timing and consistency of bowel movements immediately postpartum. The primary aim of this study was to characterize the timing and consistency of the first bowel movement after obstetric delivery in a racially diverse population at an academic medical center.
  
  
  METHODS
  Patients were approached on the day of delivery. Patients received a data collection survey to record the date and consistency of their first bowel movement. Consistency was assessed using the Bristol Stool Form Scale.
  
  
  RESULTS
  One hundred and sixty-nine patients were enrolled and 101 completed surveys were returned, for a response rate of 59%. The average number of days to first bowel movement was 1.55 versus 3.38 (p < 0.01), for vaginal delivery and cesarean section, respectively. Univariate analysis revealed cesarean delivery (+1.79 days, p < 0.01) and breastfeeding (-0.64 days, p = 0.01) as independent factors affecting the timing of the first bowel movement.
  
  
  CONCLUSIONS
  Both route of delivery and breastfeeding status may affect timing and consistency of the first bowel movement after obstetric delivery.
authors.affiliation: Department of Obstetrics and Gynecology, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL, 60153, USA, sgrazia@lumc.edu.
authors.forename: Scott
authors.initials: S
authors.lastname: Graziano
authors.forename: Darby
authors.initials: D
authors.lastname: Murphy
authors.forename: Lena
authors.initials: L
authors.lastname: Braginsky
authors.forename: Joanna
authors.initials: J
authors.lastname: Horwitz
authors.forename: Vanessa
authors.initials: V
authors.lastname: Kennedy
authors.forename: Danielle
authors.initials: D
authors.lastname: Burkett
authors.forename: Kimberly
authors.initials: K
authors.lastname: Kenton
mesh_terms: D000328:Adult; D001942:Breast Feeding; D002585:Cesarean Section; D003672:Defecation / Q000502:physiology*; D005260:Female; D006801:Humans; D007774:Lactation / Q000502:physiology; D036801:Parturition / Q000502:physiology*; D058725:Peripartum Period / Q000502:physiology*; D011247:Pregnancy