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this study helps us to compare and evaluate prospectively the benefits and safety of early hydration on bowel movement after cesarean section it includes two groups, a control group and a study group. the study group will get 200 ml of sugar free water within 1 hour after cs while the control group will get 200 ml of sugar free water 6 hours after cs
Traditionally, patients are not given fluids or food after cesarean sections until bowel function returns as evidenced by bowel sounds, passage of stool or flatus since , uneventful (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; that is why we are investigating the effectiveness and safety of early oral hydration after cesarean sections
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early Hydration Group | Experimental | this study group will get 200 ml of sugar free water within 1 hour after cesarean section followed by oral hydration as per patients' desire then starting semisolid and solid foods when patients are open bowel Intervention: Early Oral Hydration |
|
| Traditional Hydration Group | Active Comparator | this study group will get 200 ml of sugar free water after 6 hours after cesarean section followed by oral hydration as per patients' desire then starting semisolid and solid foods when patients are open bowel Intervention: Traditional Oral Hydration |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early Hydration | Other | this group will start oral hydration within 1 hour after cesarean section |
|
| Measure | Description | Time Frame |
|---|---|---|
| audible intestinal sounds | auscultation of intestinal sounds hourly for the first 12 hours after cesarean section | first 12 hours after cesarean section |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative anorexia, nausea and vomiting | recording the incidence of git upset symptoms in the first 24 hours after cesarean section | first 24 hours after cesarean section |
| time for first breast feeding |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bassem A Islam, Lecturer | Ain Shams Maternity Hospital | Study Director |
| Karim A Wahba, Professor | Ain Shams Maternity Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams Maternity Hospital | Cairo | Egypt |
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| Traditional Oral Hydration | Other | this group will start oral hydration 6 hours after cesarean section |
|
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recording the time of first breast-feed
| first 24 hours after cesarean section |
| abdominal distension | recording the incidence of abdominal distension after cesarean section | first 24 hours after cesarean section |
| amount of given intravenous fluids | recording amount in ml of given iv fluids | up to 24 hours after cesarean section |
| need for pain analgesics | recording the amount of pain analgesia needed after cesarean section | up to 24 hours after cesarean section |
| length of hospital stay | recording the length of patients' stay at hospital | up to 48 hours after cesarean section |
| satisfaction measured with a visual analogue scale before patient discharge | measuring satisfaction level after cesarean section | first 6 hours after cesarean section |
| time to first flatus | recording the time at which the patient had its first flatus | up to 48 hours after cesarean section |
| time to first bowel movement | recording the time at which the patient had her first bowel motion | up to 72 hours after cesarean section |