title: Women's satisfaction in early versus delayed postcaesarean feeding: A one-blind randomized controlled trial study.
abstract: BACKGROUND
  The early postoperative feeding after caesarean section (C- section) has remained controversial. This study was designed to evaluate the safety and efficacy of early versus delayed postcaesarean section oral feeding regarding gastrointestinal complications and patients postoperative satisfaction after C- section.
  
  
  METHODS
  This clinical trial study was conducted on 200 pregnant women undergoing planned C-section under spinal anesthesia (Registration Number: IRCT: 138712211760N1). Women were randomly divided in two groups; group A (early feeding group) comprised of 101 patients who were encouraged to take oral ﬂuid. If they tolerated, they continue semi-solid and solid foods starting 2 h after caesarean section. Group B (delayed feeding group) comprised of 99 patients who were given oral ﬂuid 8 h after surgery. After beginning of feeding the patients' tolerance, first flatus, first defecation, beginning of regular diet, the length of hospital stay and also patient satisfaction level were evaluated in each group by visual scale analog (VAS).
  
  
  RESULTS
  The mean time of the ﬁrst passage of ﬂatus was 10.2±1.7 hours for the early oral feeding group versus 10.7±1.6 hours for the delayed feeding group and the difference was significant (P=0.03). Duration to first defecation and length of hospital stay as well as patient satisfaction level did not differ significantly between the two groups.
  
  
  CONCLUSIONS
  The results of this study suggest early postcaesarean feeding. It is well tolerated and helps return normal feeding habits.
authors.affiliation: Obstetrics and Gynecology Department, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Shahnaz
authors.initials: S
authors.lastname: Barat
authors.affiliation: Fatemezahra Infertility and Reproductive Health Research Center, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Sedigheh
authors.initials: S
authors.lastname: Esmaeilzadeh
authors.affiliation: Obstetrics and Gynecology Department, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Masoumeh
authors.initials: M
authors.lastname: Golsorkhtabaramiri
authors.affiliation: Social Medicine Department, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Soraya
authors.initials: S
authors.lastname: Khafri
authors.affiliation: Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Moradi Recabdarkolaee
keywords: Caesarean section; Feeding; Gastrointestinal; Satisfaction