Title: Early Oral Feeding After Cesarean Section – A Clinical Analysis
Author: Soma Bandyopadhyay
DOI: http://dx.doi.org/10.18535/jmscr/v3i11.29
Objectives – Evaluation of impact of early oral feeding after cesarean section. Materials & methods – Early feeding group (n=100) was offered oral water 6 hours after cesarean section, and then other liquid was allowed from 10-12 hours. Soft diet was started from 18-24 hours and next meal was normal diet. Control group (n=100) mother was nil orally in first 24 hours and oral water was started in 24-48 hours depending on auscultation of peristaltic sound, followed by liquid and soft diet. Normal diet was started from 3rd postoperative day. Bowel disturbances e.g. appearance of peristaltic sound, passage of flatus, passing of stool, paralytic ileus etc. were evaluated. Result - In study group peristaltic sounds were heard by 12-14 hours; mean 13 hours (control group 30-36 hours; mean 33.2 hours) p < 0.01; flatus was passed by 36-40 hours; mean 37.9 hours (control group 52-56 hours; mean 54.1 hours) p < 0.01; stool passed by 56-60 hours; mean 57.8 hours (control group 72-75 hours; mean 73.6 hours) p < 0.01. No significant difference in paralytic ileus symptoms. Conclusion – Early feeding following cesarean section does quicker return of bowel function without jeopardizing the gastro-intestinal system. Key words: bowel function, flatus, paralytic ileus, peristaltic sound 1. Benzineb N, Slim MN, Masmoudi A, Ben Taieb A, Sfar R. Value of early oral feeding after a cesarean section. Rev Fr Gynecol Obstet 1995: 90: 281-2, 285. 2. Mangesi L, Hofmeyr GJ. Early compared with delayed oral fluids and food after caesarean section. Cochrane Database Syst Rev. 2002: 3: CD003516. 3. Dimitrov A, Stamenov G, Krŭsteva K. The overall and step-by-step duration of cesarean section. Akush Ginekol (Sofiia) 1999: 38: 7-10. 4. Adupa D, Wandabwa J, Kiondo P. A randomised controlled trial of early initiation of oral feeding after caesarean delivery in Mulago Hospital. East Afr Med J 2003: 80: 345-50. 5. 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: 65-71. doi: 10.1080/14767050802430826. 6. Chantarasorn V, Tannirandorn 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. 7. Patolia DS, Hilliard RL, Toy EC, Baker B. Early feeding after cesarean: randomized trial. Obstet Gynecol 2001: 98: 113-6. 8. Huang H, Wang H, He M. Early oral feeding compared with delayed oral feeding after cesarean section: a meta-analysis. J Matern Fetal Neonatal Med 2015 Jul 25: 1-7. [Epub ahead of print] 9. Guo J, Long S, Li H, Luo J, Han D, He T. Early versus delayed oral feeding for patients after cesarean. Int J Gynaecol Obstet 2015: 128: 100-5. doi: 10.1016/j.ijgo.2014.07.039.Abstract
References