الفهرس 
CESAREAN DELIVERYOnly 14 pages are availabe for public view
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Abstract
Background: Traditionally, Patients are not given fluids or food after abdominal surgery until bowel functions returns, as by bowel sounds, passage of flatus or stool, or a feeling of hunger, Early versus Traditional oral hydration have been studied to evaluate prospectively the benefits and safety of early hydration on bowel movement after Cesarean Section.
Aim of the Work: To evaluate prospectively the benefits and safety of early hydration on bowel movement after Cesarean Section.
Patients and Methods: The current study was carried out at Ain Shams University Maternity Hospital on (290) pregnant women with term singleton pregnancy, uncomplicated Elective LSCS, time of CS doesn’t exceed 90 Minutes, average blood loss during and after CS (doesn’t exceed l000cc), All patients will be under spinal anesthesia, during a period from March 01, 2018 to June 30, 2018.
Results:The current study showed that among study groups: time to first intestinal sounds and time to first bowel movement were significantly shorter in early group (3.8±1.0 and 10.0±1.9, respectively), compared to (8.1±1.7 and 15.0±2.1, respectively) in traditional group. Also, amount of given IV fluids was significantly lower (2000ML) compared to (3250ML) in traditional group. Pain perception was significantly lower in early group compared to traditional group (3.8±0.8 and 4.5±0.9, respectively). Also, postoperative hospital stay was significantly shorter in early group than traditional group (11.6±1.7 and 16.5±2.2, respectively). Among patients with early hydration 16 cases (11%) needed extra analgesics, 42 cases (29%) suffered from anorexia, 39 cases (26.9%) suffered from nausea, 34 cases (23.4%) suffered from vomiting, 12 cases (8.1%) suffered from abdominal distension, While among the traditional group, 22 cases (15.2%) needed extra analgesics, 35 cases (24.1%) suffered from anorexia, 32 cases (22.1% suffered from vomiting, 27 cases (18.6%) suffered from vomiting, 25 cases (17.2%) suffered from abdominal distension.
No cases of paralytic ileus had been recorded among study groups.
Conclusion:Early oral hydration after C.S was beneficial and safe on bowel movement, as it was associated with faster return of bowel sounds, shorter time to bowel movement, less pain perception, higher satisfaction, less post-operative distension and earlier hospital discharge.
Recommendations:Early oral hydration can be conducted safely after caesarean delivery. More population should be investigated for more global evaluation.