Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2023.11.002
Brazilian Journal of Anesthesiology
Letter to the Editor

The impact of early feeding on optimizing gastrointestinal recovery after caesarean section: a non-randomized, open-label, clinical trial

Graziela Cyntia Silva Santos, Glaucevane da Silva Guedes, Alane Cabral Menezes de Oliveira, Fabiana Andrea Moura

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Abstract

Dear Editor,

Gastrointestinal disorders, such as nausea, vomiting, distension, and dry mouth have negative impacts such as pain, difficulties in nutrition, and increased susceptibility to infections.

In this non-randomized open-label clinical trial conducted at the Unimed Maceió Hospital from May to October 2022, 132 postpartum women were included in the study with n = 66 in the control group (following the standard early feeding protocol of the obstetrics service) and n = 66 in the intervention group (receiving an industrialized liquid preparation within 1 hour after surgery).

The trial included parturient aged between 18 and 45 years who underwent caesarean section under spinal anesthesia using an aseptic technique. Exclusion criteria encompassed patients with twin pregnancies, emergency procedures and comorbidities related to pregnancy.

References

1. Saad AF, Saoud F, Diken ZM, et al. Early versus Late Feeding after Cesarean Delivery: A Randomized Controlled Trial. Am J Perinatol. 2016;33:415-9.
2. Li H, Chen Y, Hu Z, et al. Effectiveness of acupuncture for the recovery of gastrointestinal function of patients with gastric cancer in the postoperative period: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2021;100:e23950.

3. Mousavi Vahed SH, Afiat M, Dadgar S. Peppermint drop effect on ileus following cesarean section. J Family Med Prim Care. 2022;11:1435-42.
4. Tan PC, Alzergany MM, Adlan AS, Noor Azmi MA, Omar SZ. Immediate compared with on-demand maternal full feeding after planned caesarean delivery: a randomised trial. BJOG. 2017;124:123-31.

5. Luzny J, Valihrachova S, Novak J, Zapletal T, Donek E, Arogunmati O. Ileus states ‒ conditions connecting psychiatrists and surgeons? Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010;154:261-4.


Submitted date:
07/11/2023

Accepted date:
11/07/2023

6567aeeda953956b7c18ad62 rba Articles
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