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The percentage of cesarean deliveries is on the rise, accounting for 30-40% of all deliveries in Taiwan. Following a cesarean delivery, a few doctors in Taiwan still adheres to the progressive eating regimen of "nothing per mouth" for 24 hours or until the patient passes flatus or hears bowel sounds. However, a meta-analysis has shown that early oral intake (6-8 hours) significantly reduces the time required for the restoration of gastrointestinal function and hospital stay compared to delayed oral intake. Furthermore, early oral intake has not shown to increase the likelihood of gastrointestinal complications. While several food types have been adopted for early oral intake, no study has investigated the effect of different food types on clinical outcomes regarding gastrointestinal function and hospital stay for cesarean delivery. Therefore, the objective of this study is to investigate the effect of different food types on clinical outcomes for cesarean delivery through a randomized controlled trial. The subjects of this study are pregnant women who come to Chiayi Christian Hospital to schedule cesarean deliveries. They are randomly assigned to one of four groups: nothing by mouth, water, juice/sports drink, or chewing gum. The relevant clinical outcomes, such as time to first bowel sound or readiness for discharge, are recorded. One-way analysis of variance or Chi-square test is used to compare the differences among the four groups. Our expected results could provide valuable information on the type of food that could be used to improve the recovery of mothers after cesarean delivery and increase the quality of breastfeeding.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nothing Per Os group | No Intervention | The participants do not drink anything approximately 6-8 hours after surgery. | |
| water group | Experimental | The participants drink 240 ml water approximately 6-8 hours after surgery. |
|
| juice/sport drink group | Experimental | The participants drink 240 ml juice/sport drink approximately 6-8 hours after surgery. |
|
| chewing gum group | Experimental | The participants start chewing gum approximately 6-8 hours after surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| water | Dietary Supplement | The participants drink 240 mL of water approximately 6-8 hours after surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| first time to bowel sound | The investigator records the time duration of the first occurrence of bowel sounds immediately after surgery | To record the time duration from immediately after surgery to first bowel sound, an average of 24 hours. |
| beginning of breastmilk lactation | The investigator records the time of the beginning of breast milk lactation. | To record the time duration from immediately after surgery to the beginning of breast milk lactation, an average of 24 hours. |
| length of hospital stay | The investigator records the length of hospital stay for each participant. | To record the length of hospital stay immediately after surgery, and an average of 24 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| time to first drink | The investigator records the time duration of the first drink | To record the time duration from immediately after surgery to the first drink, an average of 24h. |
| time to first solid food intake |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chia-Hai Liu, Phd | Contact | 05-2765041 | 5579 | 02217@cych.org.tw |
| Chia-Lung Shih, Phd | Contact | 052765041 | 5579 | stone770116@gmail.com |
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| ID | Term |
|---|---|
| D014867 | Water |
| ID | Term |
|---|---|
| D006878 | Hydroxides |
| D000468 | Alkalies |
| D007287 | Inorganic Chemicals |
| D000838 | Anions |
| D007477 |
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| juice/sport drink group | Dietary Supplement | The participants drink 240 mL of juice/sport drink approximately 6-8 hours after surgery |
|
| Chewing gum group | Dietary Supplement | The participants eat chewing gum approximately 6-8 hours after surgery |
|
The investigator measures the time it takes for the first intake of solid food.
| The time duration from immediately after surgery to the first intake of solid food, an average of 24 hours. |
| duration of IV hydration | The investigator records the time duration of IV hydration. | The time duration from immediately after surgery to IV hydration, an average of 24h. |
| IV cannulae removal | The investigator records the time period of IV cannulae removal. | To record the time duration from immediately after surgery to IV cannulae removal, an average of 24 h. |
| first ambulation | The investigator records the time period of first ambulation. | To record the time duration from immediately after surgery to first ambulation, an average of 24 hours. |
| first stool | The investigator records the time period of first stool. | To record the time period from immediately after surgery to fist stool, an average of 24 hours. |
| satisfaction VAS (0-100) regarding the early intake | The participants report the satisfaction score (range from 0 to 100) for the early intake. | After the finish of the experiment, an average of 5 days. |
| Ions |
| D004573 | Electrolytes |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |