Effect of topical chamomile oil on postoperative bowel activity after cesarean section: A randomized controlled trial

Objective: Postoperative ileus (POI) is a common complication after surgery that requires a multifactorial therapeutic approach. This study aims to assess the effect of topical chamomile oil on postoperative bowel activity after cesarian section. Methods: This randomized controlled trial was carried...

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Main Authors: Ebrahim Khadem, Mahboobeh Shirazi, Leila Janani, Roja Rahimi, Parastoo Amiri, Fereshteh Ghorat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Research in Pharmacy Practice
Subjects:
Online Access:http://www.jrpp.net/article.asp?issn=2319-9644;year=2018;volume=7;issue=3;spage=128;epage=135;aulast=Khadem
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author Ebrahim Khadem
Mahboobeh Shirazi
Leila Janani
Roja Rahimi
Parastoo Amiri
Fereshteh Ghorat
author_facet Ebrahim Khadem
Mahboobeh Shirazi
Leila Janani
Roja Rahimi
Parastoo Amiri
Fereshteh Ghorat
author_sort Ebrahim Khadem
collection DOAJ
description Objective: Postoperative ileus (POI) is a common complication after surgery that requires a multifactorial therapeutic approach. This study aims to assess the effect of topical chamomile oil on postoperative bowel activity after cesarian section. Methods: This randomized controlled trial was carried out in 2015 at Chamran Hospital in Iran. A block randomization list was generated for 142 parturient divided into three groups. In the intervention group (arm A) (n = 47), chamomile oil was applied topically on abdominal region after the stability of the patient. Placebo group (arm B) (n = 47) received placebo oil and control group (arm C) (n = 48) had no intervention. A recovery program was used after surgery for all participants. The primary outcome was time to first flatus. Secondary outcomes were time to bowel sounds, defecation, return of appetite, hospital stay, and rate of nausea and vomiting, abdominal pain. Findings: Times to first flatus were significantly shorter in Group A (arm A vs. B, P < 0.001 and arm A vs. C, P < 0.001). In addition, time to first bowel sounds (arm A vs. B, P < 0.001 and arm A vs. C, P < 0.001) and return of appetite (arm A vs. B, P < 0.001 and arm A vs. C, P < 0.001) were significantly shorter in arm A. The times from surgery to first defecation were shorter in Group A versus B and C. However, there were no statistically significant differences between three groups. Conclusion: These results suggest that topical chamomile oil has a potential therapeutic effect on gastrointestinal motility and can reduce the duration of POI.
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spelling doaj.art-38fd142d86044adeb8db28c6109d11b12022-12-22T00:56:56ZengWolters Kluwer Medknow PublicationsJournal of Research in Pharmacy Practice2319-96442279-042X2018-01-017312813510.4103/jrpp.JRPP_17_103Effect of topical chamomile oil on postoperative bowel activity after cesarean section: A randomized controlled trialEbrahim KhademMahboobeh ShiraziLeila JananiRoja RahimiParastoo AmiriFereshteh GhoratObjective: Postoperative ileus (POI) is a common complication after surgery that requires a multifactorial therapeutic approach. This study aims to assess the effect of topical chamomile oil on postoperative bowel activity after cesarian section. Methods: This randomized controlled trial was carried out in 2015 at Chamran Hospital in Iran. A block randomization list was generated for 142 parturient divided into three groups. In the intervention group (arm A) (n = 47), chamomile oil was applied topically on abdominal region after the stability of the patient. Placebo group (arm B) (n = 47) received placebo oil and control group (arm C) (n = 48) had no intervention. A recovery program was used after surgery for all participants. The primary outcome was time to first flatus. Secondary outcomes were time to bowel sounds, defecation, return of appetite, hospital stay, and rate of nausea and vomiting, abdominal pain. Findings: Times to first flatus were significantly shorter in Group A (arm A vs. B, P < 0.001 and arm A vs. C, P < 0.001). In addition, time to first bowel sounds (arm A vs. B, P < 0.001 and arm A vs. C, P < 0.001) and return of appetite (arm A vs. B, P < 0.001 and arm A vs. C, P < 0.001) were significantly shorter in arm A. The times from surgery to first defecation were shorter in Group A versus B and C. However, there were no statistically significant differences between three groups. Conclusion: These results suggest that topical chamomile oil has a potential therapeutic effect on gastrointestinal motility and can reduce the duration of POI.http://www.jrpp.net/article.asp?issn=2319-9644;year=2018;volume=7;issue=3;spage=128;epage=135;aulast=KhademCesarian sectioncomplementary therapiesdefecationflatulenceileusMatricariasurgery
spellingShingle Ebrahim Khadem
Mahboobeh Shirazi
Leila Janani
Roja Rahimi
Parastoo Amiri
Fereshteh Ghorat
Effect of topical chamomile oil on postoperative bowel activity after cesarean section: A randomized controlled trial
Journal of Research in Pharmacy Practice
Cesarian section
complementary therapies
defecation
flatulence
ileus
Matricaria
surgery
title Effect of topical chamomile oil on postoperative bowel activity after cesarean section: A randomized controlled trial
title_full Effect of topical chamomile oil on postoperative bowel activity after cesarean section: A randomized controlled trial
title_fullStr Effect of topical chamomile oil on postoperative bowel activity after cesarean section: A randomized controlled trial
title_full_unstemmed Effect of topical chamomile oil on postoperative bowel activity after cesarean section: A randomized controlled trial
title_short Effect of topical chamomile oil on postoperative bowel activity after cesarean section: A randomized controlled trial
title_sort effect of topical chamomile oil on postoperative bowel activity after cesarean section a randomized controlled trial
topic Cesarian section
complementary therapies
defecation
flatulence
ileus
Matricaria
surgery
url http://www.jrpp.net/article.asp?issn=2319-9644;year=2018;volume=7;issue=3;spage=128;epage=135;aulast=Khadem
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