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Early oral hydration after cesarean delivery performed under regional anesthesia
Baris Mulayim1, Nilufer Y Celik, Serdar Kaya
1Department of Obstetrics and Gynecology, Baskent University, Alanya, Turkey. brsmlym@yahoo.com
Objective:
To establish an early, safe, and well-tolerated time to start oral hydration after cesarean delivery.
Methods:
A prospective randomized trial of women delivered by cesarean under regional anesthesia at Alanya Research and Medical Center, Turkey, between 2005 and 2006. A clear liquid drink was given to 100 women in the early oral intake (EOI) group 2 hours after surgery, and to 100 women in the delayed oral intake (DOI) group 8 hours after surgery. If the drink was tolerated, solid foods were then given gradually.
Result:
In the EOI and DOI groups, respectively, the mean time for the return of bowel movements was 4.4+/-1.9 h vs 6.3+/-2.4 h; mean time elapsed until initial passage of flatus was 12.1+/-5.5 h vs 24.1+/-6.0 h; and mean duration of hospitalization was 29.6+/-5.5 h vs 44.6+/-6.8 h (P<0.05).
Conclusion:
Following cesarean delivery under regional anesthesia, oral hydration given as early as 2 hours after the operation is safe and well tolerated.
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