The effect of various pre-cesarean fasting times on maternal and neonatal outcomes

Background: Although it is currently recommended that patients avoid solid food for 6–8 h and liquid for 2 h before cesarean section, longer restrictions still apply in many centers. Since studies on the duration of fasting before cesarean section is scarce, we aimed to investigate the effect of dif...

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Main Authors: Sogol Arab, Minoo Yaghmaei, Mojgan Mokhtari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2022;volume=11;issue=1;spage=104;epage=104;aulast=Arab
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author Sogol Arab
Minoo Yaghmaei
Mojgan Mokhtari
author_facet Sogol Arab
Minoo Yaghmaei
Mojgan Mokhtari
author_sort Sogol Arab
collection DOAJ
description Background: Although it is currently recommended that patients avoid solid food for 6–8 h and liquid for 2 h before cesarean section, longer restrictions still apply in many centers. Since studies on the duration of fasting before cesarean section is scarce, we aimed to investigate the effect of different fasting times before cesarean section on maternal and neonatal complications. Materials and methods: This descriptive study was performed on 405 candidates for cesarean section. These women were divided into five groups due to the length of time they did not consume clear liquid and solid food. Then, maternal and neonatal outcomes were compared using Kruskal–Wallis and Chi-square tests. Results: The rate of nausea during surgery was lower in the groups who ate solid food between 2 and 8 h and clear liquid <2 h before surgery (P = 0.04). Also, abdominal distension in the first 6 h after surgery in the group that did not eat solid food for <6–8 h and clear liquid for <2 h was more than in the other groups (P < 0.05). The prevalence of hypoglycemia was significantly lower in women who ate solid food for <6 h and drank clear liquid for <2 h (P < 0.05). Conclusion: Prolonged fasting time before cesarean section not only reduce complications but also may have undesirable consequences. The results of this study showed that it is better to use less strict measures in patients who are candidates for cesarean section and in patients with labor pains who are likely to have a cesarean section.
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spelling doaj.art-6b9339c487b04d5a9f06f75ddbd7f8f22022-12-22T04:41:35ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752022-01-0111110410410.4103/abr.abr_118_22The effect of various pre-cesarean fasting times on maternal and neonatal outcomesSogol ArabMinoo YaghmaeiMojgan MokhtariBackground: Although it is currently recommended that patients avoid solid food for 6–8 h and liquid for 2 h before cesarean section, longer restrictions still apply in many centers. Since studies on the duration of fasting before cesarean section is scarce, we aimed to investigate the effect of different fasting times before cesarean section on maternal and neonatal complications. Materials and methods: This descriptive study was performed on 405 candidates for cesarean section. These women were divided into five groups due to the length of time they did not consume clear liquid and solid food. Then, maternal and neonatal outcomes were compared using Kruskal–Wallis and Chi-square tests. Results: The rate of nausea during surgery was lower in the groups who ate solid food between 2 and 8 h and clear liquid <2 h before surgery (P = 0.04). Also, abdominal distension in the first 6 h after surgery in the group that did not eat solid food for <6–8 h and clear liquid for <2 h was more than in the other groups (P < 0.05). The prevalence of hypoglycemia was significantly lower in women who ate solid food for <6 h and drank clear liquid for <2 h (P < 0.05). Conclusion: Prolonged fasting time before cesarean section not only reduce complications but also may have undesirable consequences. The results of this study showed that it is better to use less strict measures in patients who are candidates for cesarean section and in patients with labor pains who are likely to have a cesarean section.http://www.advbiores.net/article.asp?issn=2277-9175;year=2022;volume=11;issue=1;spage=104;epage=104;aulast=Arabcesarean sectionfastingpatient outcome assessmentpreoperative care
spellingShingle Sogol Arab
Minoo Yaghmaei
Mojgan Mokhtari
The effect of various pre-cesarean fasting times on maternal and neonatal outcomes
Advanced Biomedical Research
cesarean section
fasting
patient outcome assessment
preoperative care
title The effect of various pre-cesarean fasting times on maternal and neonatal outcomes
title_full The effect of various pre-cesarean fasting times on maternal and neonatal outcomes
title_fullStr The effect of various pre-cesarean fasting times on maternal and neonatal outcomes
title_full_unstemmed The effect of various pre-cesarean fasting times on maternal and neonatal outcomes
title_short The effect of various pre-cesarean fasting times on maternal and neonatal outcomes
title_sort effect of various pre cesarean fasting times on maternal and neonatal outcomes
topic cesarean section
fasting
patient outcome assessment
preoperative care
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2022;volume=11;issue=1;spage=104;epage=104;aulast=Arab
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