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Related Experiment Video

Updated: May 23, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Are enemas given before cesarean section useful? A prospective randomized controlled study.

Samuel Lurie¹, Carolina Baider, Hagit Glickman

¹Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel. drslurie@hotmail.com

European Journal of Obstetrics, Gynecology, and Reproductive Biology

|April 21, 2012

Summary

This summary is machine-generated.

Preoperative enemas did not improve postoperative bowel habit recovery in women undergoing cesarean delivery. Routine use of enemas before elective cesarean section is not recommended.

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Area of Science:

Obstetrics and Gynecology
Gastroenterology
Surgical Recovery

Background:

Postoperative recovery of bowel function is a key concern after cesarean delivery.
The role of preoperative intestinal preparation, specifically enemas, in optimizing this recovery is debated.

Purpose of the Study:

To evaluate the impact of a preoperative enema on the return of bowel function following elective cesarean section.

Main Methods:

A prospective randomized controlled trial was conducted with 130 participants undergoing elective cesarean section.
Participants were randomized to receive a Fleet enema or no preoperative intestinal preparation.
Outcomes included the return of bowel sounds, gas passage, and first spontaneous bowel movement, with blinded outcome assessment.

Main Results:

No statistically significant differences were observed in the return of bowel sounds, gas passage, or first spontaneous feces on postoperative day 1 between the enema and no-enema groups.
The incidence of bowel sounds was 35.3% vs. 47.2%, gas passage 47.2% vs. 52.8%, and spontaneous feces 1.5% vs. 10.8% in the enema and no-enema groups, respectively.

Conclusions:

The study found no evidence that preoperative enemas benefit the postoperative recovery of bowel habits in women undergoing elective cesarean delivery.
Routine preoperative enema administration prior to elective cesarean section is not supported by these findings and is therefore not recommended.