Effect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function

BACKGROUND AND OBJECTIVE: Postoperative ileus is accompanied by increased hospital stay, pain, abdominal distention, inability to begin feeding and eventually delayed recovery. Chewing gum can cause gastric stimulation and the secretion of gastric and digestive juices that lead to weakness and stimu...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	F Mohsenzadeh Ledari, SH Barat, F Nasiri Amiri, M Aghajani Delavar, SZ Banihosseini, S Khafri
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2012
Materias:	chewing gum ileus cesarean bowel function Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b7ec457c639d40f49114d9d371d99cbf
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b7ec457c639d40f49114d9d371d99cbf
record_format	dspace
spelling	oai:doaj.org-article:b7ec457c639d40f49114d9d371d99cbf2021-11-10T08:53:11ZEffect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function1561-41072251-7170https://doaj.org/article/b7ec457c639d40f49114d9d371d99cbf2012-05-01T00:00:00Zhttp://jbums.org/article-1-4085-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Postoperative ileus is accompanied by increased hospital stay, pain, abdominal distention, inability to begin feeding and eventually delayed recovery. Chewing gum can cause gastric stimulation and the secretion of gastric and digestive juices that lead to weakness and stimulate eating and consequently, this increases peristaltic movements of the bowel that may accelerate the ileus recovery. The aim of this study was to assess the effect of gum chewing after cesarean-delivery on return of bowel function in women.METHODS: This randomized clinical trial study was performed on 100 patients after cesarean delivery. They were randomly allocated to two groups: gum-chewing group (n=50) and control group (n=50). The patients in the gum-chewing group chewed sugar free gum as soon as consciousness 3 times daily for 1 hour each time until discharge. Control group received routine care after surgery. Patients demographic characteristics, surgery duration, time to first flatus, time to first bowel movement, time to first defecation, time to first feeling of hungry were compared between the two groups. FINDINGS: In both groups type of anesthesia, age, gestational age, pre and post operative care, period of being NPO, parity, surgery type and duration of surgery, serum intake were the same. All patients in gum-chewing group tolerated the gum without any side effects. The first passage of flatus (24.83 ±6.39 vs. 29.95±9.70 hours), time to first defecation (30.60±5.85 vs. 38.42±8.95 hours) time to first bowel movement (21.85±7.76 vs. 26.13±9.56 hours) and time to first hungry (11.79±6.05 vs. 14.52±7.60 hours), were significantly lower in the gum-chewing group in compared to control group.CONCLUSION: Gum chewing speeds recovery after cesarean-delivery. Gum chewing is considered an inexpensive and helpful method in postoperative care following caesarean.F Mohsenzadeh LedariSH BaratF Nasiri AmiriM Aghajani DelavarSZ BanihosseiniS KhafriBabol University of Medical Sciencesarticlechewing gumileuscesareanbowel functionMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 14, Iss 3, Pp 19-24 (2012)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	chewing gum ileus cesarean bowel function Medicine R Medicine (General) R5-920
spellingShingle	chewing gum ileus cesarean bowel function Medicine R Medicine (General) R5-920 F Mohsenzadeh Ledari SH Barat F Nasiri Amiri M Aghajani Delavar SZ Banihosseini S Khafri Effect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function
description	BACKGROUND AND OBJECTIVE: Postoperative ileus is accompanied by increased hospital stay, pain, abdominal distention, inability to begin feeding and eventually delayed recovery. Chewing gum can cause gastric stimulation and the secretion of gastric and digestive juices that lead to weakness and stimulate eating and consequently, this increases peristaltic movements of the bowel that may accelerate the ileus recovery. The aim of this study was to assess the effect of gum chewing after cesarean-delivery on return of bowel function in women.METHODS: This randomized clinical trial study was performed on 100 patients after cesarean delivery. They were randomly allocated to two groups: gum-chewing group (n=50) and control group (n=50). The patients in the gum-chewing group chewed sugar free gum as soon as consciousness 3 times daily for 1 hour each time until discharge. Control group received routine care after surgery. Patients demographic characteristics, surgery duration, time to first flatus, time to first bowel movement, time to first defecation, time to first feeling of hungry were compared between the two groups. FINDINGS: In both groups type of anesthesia, age, gestational age, pre and post operative care, period of being NPO, parity, surgery type and duration of surgery, serum intake were the same. All patients in gum-chewing group tolerated the gum without any side effects. The first passage of flatus (24.83 ±6.39 vs. 29.95±9.70 hours), time to first defecation (30.60±5.85 vs. 38.42±8.95 hours) time to first bowel movement (21.85±7.76 vs. 26.13±9.56 hours) and time to first hungry (11.79±6.05 vs. 14.52±7.60 hours), were significantly lower in the gum-chewing group in compared to control group.CONCLUSION: Gum chewing speeds recovery after cesarean-delivery. Gum chewing is considered an inexpensive and helpful method in postoperative care following caesarean.
format	article
author	F Mohsenzadeh Ledari SH Barat F Nasiri Amiri M Aghajani Delavar SZ Banihosseini S Khafri
author_facet	F Mohsenzadeh Ledari SH Barat F Nasiri Amiri M Aghajani Delavar SZ Banihosseini S Khafri
author_sort	F Mohsenzadeh Ledari
title	Effect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function
title_short	Effect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function
title_full	Effect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function
title_fullStr	Effect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function
title_full_unstemmed	Effect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function
title_sort	effect of gum chewing after cesarean-delivery on return of bowel function
publisher	Babol University of Medical Sciences
publishDate	2012
url	https://doaj.org/article/b7ec457c639d40f49114d9d371d99cbf
work_keys_str_mv	AT fmohsenzadehledari effectofgumchewingaftercesareandeliveryonreturnofbowelfunction AT shbarat effectofgumchewingaftercesareandeliveryonreturnofbowelfunction AT fnasiriamiri effectofgumchewingaftercesareandeliveryonreturnofbowelfunction AT maghajanidelavar effectofgumchewingaftercesareandeliveryonreturnofbowelfunction AT szbanihosseini effectofgumchewingaftercesareandeliveryonreturnofbowelfunction AT skhafri effectofgumchewingaftercesareandeliveryonreturnofbowelfunction
_version_	1718440411827011584

Effect of Gum Chewing after Cesarean-Delivery on Return of Bowel Function

Ejemplares similares