الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Traditionally, patients are not given fluids after cesarean sections until bowel function returns as evidenced by bowel sounds, passage of stool or flatus. since, uncomplicated cesarean sections have no effect on intestinal functions and with putting in minds the need of the mother for early hydration, movement, breast feeding and early discharge; In this study, the effectiveness and safety of early oral hydration after cesarean sections will be investigated. Objective: To asses the efficacy of early oral hydration in women undergoing CS, on acceleration of the return of intestinal movements, passage of flatus and stool. Patients and Methods: This study was conducted at Ain Shams University Maternity Hospital; it was carried during the period from November, 2018 to May, 2019. Out of 166 women who underwent cesarean section under spinal anesthesia 25 women were not matching the inclusion criteria, so a number of 141 women were randomly assigned into two groups: group I (experimental group ” early hydration”) 72 women: These women received water in the first hour postoperatively, group II (control group ”traditional hydration”) 69 women: these women received water after 6 hours postoperatively. Results: Our study results found that, the median time to first flatus, median time to first breast feeding and rates of ANV were similar with insignificant differences between both groups. Rate of abdominal distension among our study groups was lower among group I (20%) than in group II (21.7%) with insignificant differences between both groups. Conclusion: This study indicated that early oral hydration in patients following cesarean section is aimed to minimize possible complications that patients may develop, shorten the hospitalization duration, and decrease inpatient care costs. |