الفهرس 
POSTOPERATIVE ILEUSOnly 14 pages are availabe for public view
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Abstract
T
he use of CS has increased dramatically worldwide in the last decades particularly in middle- and high-income countries, despite the lack of evidence supporting substantial maternal and perinatal benefits with CS rates higher than a certain threshold, and some studies showing a link between increasing CS rates and poorer outcomes.
Coffee is a popular beverage, and its effects on general wellbeing, the central nervous system, and the cardiovascular system are well known. Although coffee may stimulate bowel function in certain healthy volunteers, there is limited scientific evidence regarding its effects on gastrointestinal function
Caffeine is available as an oral form, which is well absorbed, with blood peak levels reached in 30 min. However, therapeutic doses of caffeine are associated with atrial fibrillation and central nervous system toxicity, and need to be used cautiously in high-risk patients. Further studies will be required before caffeine can be recommended as a routine treatment for headache after lumbar puncture.
The aim of the study is to assess the value of caffeine ingestion in promoting intestinal motility and prevention of postoperative ileus after caesarean section and to assess the effect of caffeine in decreasing spinal headache after spinal anesthesia in women undergoing caesarean section.
This is a randomized controlled trial that was conducted on 560 cases were recruited from emergency unit and inpatient wards in Ain Shams University maternity hospital.
The main results of the study revealed that:
There was no significant difference between groups regarding age. The mean ± SD ages of patients and controls were (29.7±5.4) years and (29.8 ± 5.7) years, respectively.
That there was no significant difference between groups regarding pre-operative fasting hours and operation time in minutes (p >0.05).
There was statistically significant difference between groups regarding the bowel function after caesarean section among studied patients except the first time to defecation there was a non-statistically significant difference between groups (p >0.05).
There was no significant differences between groups regarding post-operative nausea and vomiting (p >0.05). However, there was a significant difference between groups regarding postoperative abdominal distension (p<0.05).
There was a significant difference between groups regarding postoperative headache, where less patients developed it in the caffeine group.
Based on the results we recommend further studies on larger geographical scale and larger sample to emphasize our conclusion.