The Effects of Gum Chewing on Bowel Function Recovery Following Cesarean Section

The Effects of Gum Chewing on Bowel Function Recovery Following Cesarean Section: Randomized Controlled Trial

Following all abdominal surgery, paralytic ileus commonly develops. Surgeons have traditionally withheld postoperative oral intake until the return of bowel function to prevent related complications. Gum chewing can stimulates bowel movement and promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion.

The objectives of this study are to examine effects of adding gum chewing to the conventional postoperative feeding regimen on the return of bowel function, its related complications, and patients' satisfaction.

Inclusion Criteria:

• Pregnant women undergoing cesarean delivery

Exclusion Criteria:

• Perioperative hyperalimentation
• Recent chemotherapy
• Concurrent bowel surgery
• Previous bowel surgery
• Concurrent bowel obstruction
• History of inflammatory bowel diseases
• Previous abdominal/pelvic radiation
• Postoperative placement of endotracheal tube/nasogastric tube
• Postoperative admission to intensive care unit