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Corresponding Author

Anwer, Mohamed

Document Type

Original Article

Abstract

Background: Cesarean section is a delivery of the baby by an abdominal and uterine incision. It is considered one of the most frequently surgical intervention performed in the world about from 37% to 67%. Cephalopelvic disproportion, repeat cesarean section, fetal distress, Malpresentation and multifetal gestation are the most common indications for cesarean section. Aim of the Work: to detect the effect of early postoperative feeding on patient satisfaction and gastrointestinal function after cesarean delivery. Patients and Methods: A randomized controlled study included 200 women admitted to the labor ward in Al-Hussein and Sayed Galal Hospitals, Al-Azhar University during the period from March 2021 to December 2021 Study group: 100 cases, early feeding irrespective hearing bowel sounds and Control group: 100 cases, delayed oral semisolid foods after bowel opening. Results: There were non-significant differences between both groups as regard BMI, gestational age, and duration of surgery, blood loss, and ambulation,. There were statically significant difference between the two groups regarding age, bowel sounds, and bowel opening. In the early group, return of bowel sounds and movement of bowel are earlier. Concerning nausea and vomiting are less in early group but with no significant difference. The study group had much satisfaction than group B with statically significant differences between both groups. Conclusion: Early oral feeding after uncomplicated cesarean section is much better, early feeding without hearing bowel sounds, after 6 hours after operation has many advantages; it resulted in more rapid return in bowel functions, more satisfaction, less vomiting and nausea.

Keywords

early postoperative feeding; Gastrointestinal function; cesarean section

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