CESAREAN DELIVERY

TO EVALUATE THE GASTRO INTESTINAL EFFECTS WITH EARLY FEEDING ARE BETTER THAN DELAYED FEEDING

Abstract

In obstetrics, the rate of caesarean section has consistently expanded globally.
Generally, after caesarean section the solid food has been stopped to women for 1st 24 hours
so that it could avoid gastro intestinal complications. Mostly in all the cesarean section cases
was operated by regional anesthesia where in little intestinal manipulation and short operative
time. The aim of this study is to know that the gastrointestinal effect on early feeding versus
delayed feeding after uncomplicated cesarean section and the better practice as well as
advocated in future. Objective: Evaluation of the gastro intestinal effects with early feeding
is better than delayed feeding after cesarean delivery. Study Design: Randomized controlled
clinical trial. Setting: Obstetrics & Gynaecological Department, Liaquat University Hospital,
and Hyderabad. Period: January 2012 to January 2013. Methodology: A total number of
352 women uncomplicated emergency or elective cesarean section under spinal anesthesia
was included in this study. Consenting women were randomly assigned into two groups such
as early feeding group and delayed feeding group. Any complaint about anorexia, nausea,
vomiting, abdominal discomfort and abdominal distention on physical examination was noted.
Results: Rate of ileus, anorexia was significantly low in early feeding groups as compare to
delayed feeding group while rate of vomiting and abdominal distension were not significant
between groups. Average time of first bowel sound and time of passage of flatus and passage
of stool were significant between groups. Conclusion: In conclusion, early feeding fastens the
recovery and lowers complication rate.