title: Effect of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge in the early period after caesarean section.
abstract: OBJECTIVE
  The purpose of this study was to determine the effects of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge on women who have given birth at the Cengiz Gökçek Gynecology and Obstetrics Hospital surgery services in Gaziantep city centre.
  
  
  BACKGROUND
  Caesarean operation is the most significant surgical intervention that affects central nervous system and decelerates bowel movements in the postoperative period. Conducted studies show that practices such as gum chewing ensure that bowel functions start in a short time through early feeding and mobilisation and shorten the duration of hospital stay.
  
  
  METHODS
  A randomised controlled experimental was used.
  
  
  METHODS
  A total of 120 women participated in the study in three groups of 40 for gum, exercise and control groups. Gum was given to the groups in the gum section two hours after the ceasarean, the women chewed gum for the first eight hours until flatulence for 15 minutes every two hours. However, the women in the exercise group started moving two hours after the caesarean for the first eight hours until flatulence for five minutes every two hours. The control group consisted of women under routine treatment and care of the hospital. All women were hourly evaluated in terms of abdominal sounds, flatulence and defaecation.
  
  
  RESULTS
  It was determined that following caesarean, bowel functions started in three groups at the same time, there was no significant difference between three groups. It was determined that the gum group, exercise group and the control group were discharged earlier, there was no significant difference between three groups
  
  
  CONCLUSIONS
  The study results show that spinal anaesthesia have positive effects on discharge time after caesarean section operation.
  
  
  CONCLUSIONS
  This study provides useful information to clinician and researchers when determining practices such as postoperative standing up in early period, gum chewing and early liquid intake related to postoperative bowel functions after abdominal operations.
authors.affiliation: Department of Gynecology and Obstetric, Gaziantep University of Faculty of Health Sciences, Gaziantep, Turkey.
authors.forename: Semra Akköz
authors.initials: SA
authors.lastname: Çevik
authors.affiliation: Department of Gynecology and Obstetric, Erciyes University of Faculty of Health Sciences, Kayseri, Turkey.
authors.forename: Mürüvvet
authors.initials: M
authors.lastname: Başer
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000451:nursing* / Q000534:rehabilitation; D002638:Chewing Gum; D005081:Exercise Therapy; D005260:Female; D005769:Gastrointestinal Motility; D006801:Humans; D010351:Patient Discharge; D011183:Postoperative Complications / Q000517:prevention & control*; D011247:Pregnancy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D002638:Chewing Gum
keywords: caesarean; early discharge; exercise; gum chewing; postoperative bowel movement