SURVEYING THE EFFICACY OF EARLY POST OPERATIVE ALIMENTATION AFTER CESAREAN SECTION ON GI COMPLICATIONS AND PROGNOSIS

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KIAIE P.; OULADI B.; TALEGHANI A.

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Journal: Researcher Bulletin of Medical Sciences Year:2001 | Volume:6 | Issue:1 (21) Page(s): 31-36

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Title

SURVEYING THE EFFICACY OF EARLY POST OPERATIVE ALIMENTATION AFTER CESAREAN SECTION ON GI COMPLICATIONS AND PROGNOSIS

Author(s)

KIAIE P. | OULADI B. | TALEGHANI A. | Issue Writer Certificate

Keywords

CESAREAN

EARLY ALIMENTATION

DAYS OF HOSPITALIZATION

Abstract

Background: Eliminating the period of hospitalization and promoting outpatient facilities in order to reduce expenses and increase hospital turn over is one of the main goals trying to achieve in modern medicine. CESAREAN section is the most common gyneocological operation. Early post operative solid food alimentation could be effective in eliminating the period of hospitalization. This study has been carried out to determine the efficacy of early postoperative alimentation after CESAREAN section on GI complications and prognosis, Mahdieh hospital, 1998-99. Materials and methods: This randomized controlled clinical trial has been conducted over 402 pregnant women undertook CESAREAN section due to obstetric problems. Patients were randomly distributed in two groups of case, EARLY ALIMENTATION 6 hours after CESAREAN section, and control, late alimentation 24 hours after CESAREAN section. Initial data including gestational age, parity, weight. operation period, the reason for CESAREAN section, type of anesthesia, DAYS OF HOSPITALIZATION, the exact time of gas passage and defecation and fever were all recorded in both groups. Meanwhile, patients were studied for cramping pain, tenesmus, nausea, vomiting, and abdominal distension. In case of presenting 1 to 2 signs, it considered as a mild, 3 to 4 signs as a moderate and all the 5 signs as a severe complication. X2 and Hest assessed our results. 208 patients were put in the case group and the remaining 194 patients were in the control group. Results: Patients in both groups have shown no statistically differences considering gestational age, parity, operation period, the reason for CESAREAN section, and type of anesthesia. Patients in the case group were hospitalized significantly lesser than the other group (56.1±13.9 hrs vs. 68.9±19.9 hrs, p<0.0001). In the case group gas passage occurred 1.8±0.5 days after the operation, however, in the control group it occurred 2.05±0.5 days after the operation (10% difference, p<0.001). Mild and moderate complications were similar in both groups, 21% and 3-4% respectively. No severe complication has been reported. Fever incidence was much higher in the control group (22% vs. 11%, p< 0.005). Conclusion: Early post operative alimentatibn after CESAREAN section may not only cause no GI complications but also could eliminate hospitalization, expenses and fever incidence, so it is highly recommended in routine cares after CESAREAN section.

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APA: Copy

KIAIE, P., OULADI, B., & TALEGHANI, A.. (2001). SURVEYING THE EFFICACY OF EARLY POST OPERATIVE ALIMENTATION AFTER CESAREAN SECTION ON GI COMPLICATIONS AND PROGNOSIS. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH), 6(1 (21)), 31-36. SID. https://sid.ir/paper/530925/en

Vancouver: Copy

KIAIE P., OULADI B., TALEGHANI A.. SURVEYING THE EFFICACY OF EARLY POST OPERATIVE ALIMENTATION AFTER CESAREAN SECTION ON GI COMPLICATIONS AND PROGNOSIS. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)[Internet]. 2001;6(1 (21)):31-36. Available from: https://sid.ir/paper/530925/en

IEEE: Copy

P. KIAIE, B. OULADI, and A. TALEGHANI, “SURVEYING THE EFFICACY OF EARLY POST OPERATIVE ALIMENTATION AFTER CESAREAN SECTION ON GI COMPLICATIONS AND PROGNOSIS,” RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH), vol. 6, no. 1 (21), pp. 31–36, 2001, [Online]. Available: https://sid.ir/paper/530925/en

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