DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20195360

A comparative study of early postoperative feeding versus conventional feeding for patients undergoing caesarean section

Neeraja S., Naritha Reddy, Naima Fathima

Abstract


Background: Early alimentation after caesarean delivery probably has limited clinical significance in terms of improved energy and protein intake. Decreasing the post-operative ileus is possible with early feeding. Objective of this study was to study efficacy of early postoperative feeding versus conventional feeding for patients undergoing caesarean section.

Methods: Present study was hospital based comparative study carried out among 200 women who fulfilled the selection criteria. The cases were divided into 2 groups of 100 each by suitable random sampling technique. Group A included 100 cases who were given early feeding within 6 hours of caesarean delivery. Group B included 100 control who were given the feeding after 24 hours of caesarean delivery.

Results: The mean duration of postoperative hospital stay in Group A and Group B was 4.59±0.65 and 4.81±0.81 days respectively (p <0.05). The mean time to return of bowel sounds in Group A and Group B was 2.79±1.36 and 3.55±1.49 hours respectively (p <0.01). 2(2%) cases in group A had postoperative ileus symptoms, whereas 3 (3%) cases in Group B had the same. Statistically significant difference (p <0.05) was seen in terms of vomiting 1% versus 17%, nausea 5% versus 16%, abdominal distention 2% versus 7%, diarrhea 4% versus 90% in the early feeding versus conventional feeding groups.

Conclusions: It can be concluded from present study that fast return to the normal diet is possible with early feeding among women undergoing cesarean section compared to the conventional feeding among women undergoing cesarean section.


Keywords


Caesarean section, Delivery, Diet, Feeding, Fetus, Incidence, Pregnancy

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References


Suganya Devi S, Pilla SK, Vijayaraghavan J. A comparative study of early versus conventional delay in postoperative oral intake. Indian J Obstet Gynecol Res. 2015;2(4):276-82.

Adupa D, Wandabwa J. A randomized controlled trial of early initiation of oral feeding after caesarean delivery in Mulago hospital. East Afr Med J. 2003;80(7):345-50.

Soriano D, Dulitzki M, Keidar N, Barkai G, Mashiach S, Steidman DS. Early oral feeding after cesarean delivery. Obstet Gynecol. 1996;87:1006-8.

Shibata Y, Toyoda S. Patterns of intestinal motility recovery during the early stage following abdominal surgery: Clinical Manometric Study. World J Surg. 1997;21:806-10.

Patolia DS, Hiliard RLM Jr, Toy EC, Baker B. Early feeding after cesarean: randomized trial. Obstet Gynecol. 2001;98:113-6.

Strong TH Jr, Brown WL Jr, Brown WL, Curry CM. Experience with early post cesarean hospital dismissal. Am J Obstet Gynecol. 1993;169:116-9.

Gocmen A, Gocmen M, Saraoglu M. early post-operative feeding after caesarean delivery. J Int Med Res. 2002;30:506-11.

Brooten D, Roncoli M, Finkler S, Arnold L, Cohen A. A randomized trial of early hospital discharge and home follow-up of women having cesarean birth. Obstet Gynecol. 1994;84:832-8.

Bufo AJ, Feldman S, Daniels GA, Lieberman RC. Early postoperative feeding. Dis Colon Rectum. 1994;37:1260-5.

Ray SA, Rainsbury RM. Patient tolerance of the early introduction of oral fluids after laparotomy. Ann R Coll Surg Engl. 1993;75:157-60.

Weinstein L, Dyne PL, Duerbeck NB. The PROEF diet - A new postoperative regimen for oral early feeding. Am J Obstet Gynecol. 1993;168:128-31.

Nematihonar B, Salimi S, Noorian V, Samsami M. Early versus delayed (Traditional) postoperative oral feeding in patients undergoing colorectal anastomosis. Adv Biomed Res. 2018;7:30.

Gocmen A, Gocmen M, Saraoglu M. Early postoperative feeding after caesarean delivery. J Int Med Res. 2002;30:506-11.

Bar G, Sheiner E, Lezerovizt A, Lazer T, Hallak M. Early maternal feeding following caesarean delivery: A prospective randomized study. Acta Obstet Gynecol Scand. 2008;87(1):68-71.

Chantarasorn V, Tannirandom Y. A comparative study of early postoperative feeding versus conventional feeding for patients undergoing cesarean section; a randomized controlled trial. J Med Assoc Thai. 2006;89(Suppl 4):S11-6.

Orji EO, Olabode TO, Kuti O, Ogunniyi SO. A randomised controlled trial of early initiation of oral feeding after cesarean section. J Matern Fetal Neonatal Med. 2009;22(1):65-71.

Teoh WH, Shah MK, Mah CL. A randomised controlled trial on beneficial effects of early feeding post-Caesarean delivery under regional anaesthesia. Singapore Med J. 2007;48(2):152-7.