Early versus Delayed Initiation of Oral Feeds among Mothers after Caesarean Delivery: A Comparative Study
Introduction: It is a common practice to keep a patient ‘nil’ per oral, till the return of bowel sounds, after any laparotomy. Enhanced Recovery After Surgery (ERAS) society, now recommends evidenced-based guidelines for postoperative early oral feeding after an uncomplicated Caesarean Delivery (CD)...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/17193/59075_CE(AD)_F[SH]_PF1(SC_SHU)_PFA(SHU)_PB(SC_SHU)_PN(SHU).pdf |
| _version_ | 1797946316309921792 |
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| author | Rajiv Kumar Saxena Chaitanya Indrani P Roshini Aritra Maji |
| author_facet | Rajiv Kumar Saxena Chaitanya Indrani P Roshini Aritra Maji |
| author_sort | Rajiv Kumar Saxena |
| collection | DOAJ |
| description | Introduction: It is a common practice to keep a patient ‘nil’ per oral, till the return of bowel sounds, after any laparotomy. Enhanced Recovery After Surgery (ERAS) society, now recommends evidenced-based guidelines for postoperative early oral feeding after an uncomplicated Caesarean Delivery (CD), as opposed to the delayed (conventional) initiation of oral feeds.
Aim: To compare the effects of early feeding versus delayed oral feeding in women undergoing CD.
Materials and Methods: This prospective comparative study was conducted in Department of Obstetrics and Gynaecology at MVJ Medical College and Research Hospital, Bengaluru, Karnataka, India, from November 2020 to October 2021. Total of 148 women with uncomplicated singleton pregnancy undergoing CD, under spinal anaesthesia, were allocated into two groups. Early Feeding group (n=70) (EF) where feeding was started within 2-8 hours of surgery and Delayed Feeding group (n=78) (DF) where feeding was started between 18-24 hours of CD. The outcome measures were maternal satisfaction, and the effect on gastrointestinal function (return of bowel sounds, passage of flatus and stool), mobilisation of patient and complications in postoperative period. Student’s t-test and Chi-square test were used as appropriate, and p-value <0.05 was determined to be statistically significant.
Results: The mean age of women in DF was 24.79±4.37 years and in EF group was 25.09±3.86 years. Overall, the maternal satisfaction was high in both the groups; DF (80%) and in EF (98.6%). There was an early return of bowel sounds in EF group 4.71±1.83 hours versus 13.72±3.08 hours in DF group. Participants in EF group recorded. early passage of flatus (9.89±3.00 hours versus 13.72±3.08 hours), and early ambulation (9.57±1.62 versus 14.95±3.9 hours) when compared to DF group participants.
Conclusion: The ERAS strategy is a safe and effective approach for postoperative care for women undergoing caesarean delivery and results in overall high patient satisfaction. |
| first_indexed | 2024-04-10T21:09:06Z |
| format | Article |
| id | doaj.art-ba9ac7be695d47f6ad7938fe42d39972 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T21:09:06Z |
| publishDate | 2022-12-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ba9ac7be695d47f6ad7938fe42d399722023-01-21T11:34:49ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-12-011612QC01QC0410.7860/JCDR/2022/59075.17193Early versus Delayed Initiation of Oral Feeds among Mothers after Caesarean Delivery: A Comparative StudyRajiv Kumar Saxena0Chaitanya Indrani1P Roshini2Aritra Maji3Professor, Department of Obstetrics and Gynaecology, MVJ Medical College and Research Hospital, Bengaluru, Karnataka, India.Assistant Professor, Department of Obstetrics and Gynaecology, MVJ Medical College and Research Hospital, Bengaluru, Karnataka, India.Assistant Professor, Department of Obstetrics and Gynaecology, MVJ Medical College and Research Hospital, Bengaluru, Karnataka, India.Assistant Professor, Department of Obstetrics and Gynaecology, MVJ Medical College and Research Hospital, Bengaluru, Karnataka, India.Introduction: It is a common practice to keep a patient ‘nil’ per oral, till the return of bowel sounds, after any laparotomy. Enhanced Recovery After Surgery (ERAS) society, now recommends evidenced-based guidelines for postoperative early oral feeding after an uncomplicated Caesarean Delivery (CD), as opposed to the delayed (conventional) initiation of oral feeds. Aim: To compare the effects of early feeding versus delayed oral feeding in women undergoing CD. Materials and Methods: This prospective comparative study was conducted in Department of Obstetrics and Gynaecology at MVJ Medical College and Research Hospital, Bengaluru, Karnataka, India, from November 2020 to October 2021. Total of 148 women with uncomplicated singleton pregnancy undergoing CD, under spinal anaesthesia, were allocated into two groups. Early Feeding group (n=70) (EF) where feeding was started within 2-8 hours of surgery and Delayed Feeding group (n=78) (DF) where feeding was started between 18-24 hours of CD. The outcome measures were maternal satisfaction, and the effect on gastrointestinal function (return of bowel sounds, passage of flatus and stool), mobilisation of patient and complications in postoperative period. Student’s t-test and Chi-square test were used as appropriate, and p-value <0.05 was determined to be statistically significant. Results: The mean age of women in DF was 24.79±4.37 years and in EF group was 25.09±3.86 years. Overall, the maternal satisfaction was high in both the groups; DF (80%) and in EF (98.6%). There was an early return of bowel sounds in EF group 4.71±1.83 hours versus 13.72±3.08 hours in DF group. Participants in EF group recorded. early passage of flatus (9.89±3.00 hours versus 13.72±3.08 hours), and early ambulation (9.57±1.62 versus 14.95±3.9 hours) when compared to DF group participants. Conclusion: The ERAS strategy is a safe and effective approach for postoperative care for women undergoing caesarean delivery and results in overall high patient satisfaction.https://www.jcdr.net/articles/PDF/17193/59075_CE(AD)_F[SH]_PF1(SC_SHU)_PFA(SHU)_PB(SC_SHU)_PN(SHU).pdfambulationbowel soundsfeedingflatusmaternal satisfaction |
| spellingShingle | Rajiv Kumar Saxena Chaitanya Indrani P Roshini Aritra Maji Early versus Delayed Initiation of Oral Feeds among Mothers after Caesarean Delivery: A Comparative Study Journal of Clinical and Diagnostic Research ambulation bowel sounds feeding flatus maternal satisfaction |
| title | Early versus Delayed Initiation of Oral Feeds among Mothers after Caesarean Delivery: A Comparative Study |
| title_full | Early versus Delayed Initiation of Oral Feeds among Mothers after Caesarean Delivery: A Comparative Study |
| title_fullStr | Early versus Delayed Initiation of Oral Feeds among Mothers after Caesarean Delivery: A Comparative Study |
| title_full_unstemmed | Early versus Delayed Initiation of Oral Feeds among Mothers after Caesarean Delivery: A Comparative Study |
| title_short | Early versus Delayed Initiation of Oral Feeds among Mothers after Caesarean Delivery: A Comparative Study |
| title_sort | early versus delayed initiation of oral feeds among mothers after caesarean delivery a comparative study |
| topic | ambulation bowel sounds feeding flatus maternal satisfaction |
| url | https://www.jcdr.net/articles/PDF/17193/59075_CE(AD)_F[SH]_PF1(SC_SHU)_PFA(SHU)_PB(SC_SHU)_PN(SHU).pdf |
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