Effect of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge in the early period after caesarean section

Çevik, Semra Akköz; Başer, Mürüvvet

doi:10.1111/jocn.13245

Cited by 10 publications

(5 citation statements)

References 26 publications

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“…This finding was statistically highly significant and it is clinically important for maternal and infant health. 6 A previous studies made by Harma et al,11 ; Çevik and Başer; 12 Shang et al 13 showed results in accordance with the results obtained from the present study regarding shorter hospital stay postoperatively , In this study, the women who chewed gum had shorter discharge times (43.00±1.40hours) than those in the control group (47.55±1.42 hours). [11][12][13]…”

Section: Discussionsupporting

confidence: 92%

The relation between gum chewing in early post-operative period and the return of gastro-intestinal function after caesarean section

Farouk¹,

Mutlag²,

Youssef³

2019

OGIJ

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BackgroundAlthough C-section sometimes lifesaving but it has many complications, one of these complications is ileus which is temporary inhibition of gastrointestinal function, it's treatment is supportive by gastric decompression, together with IV hydration and correction of electrolyte abnormalities and discontinuation of anti-kinetic drugs. 1 The retrieval of full bowel movement occurs within seventy two hours post ileus in uncomplicated cases. 2 While in cases that has impaired functional ability of bowel more than 3 days, this is called paralytic ileus. 3 Many factors can affect postoperative bowel motility such surgery (abdominal and nonabdominal), infection, inflammation, severe pain, medications, general anesthesia, and electrolyte abnormalities. 4 Aim of the studyThe aim of the study is to investigate the effect of gum chewing on intestinal sounds, passing gas and intestinal evacuation after cesarean birth under spinal anesthesia in order to shorten hospital stay and postoperative ileus.

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Section: Discussionsupporting

confidence: 92%

The relation between gum chewing in early post-operative period and the return of gastro-intestinal function after caesarean section

Farouk¹,

Mutlag²,

Youssef³

2019

OGIJ

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“…Some studies in the literature state that chewing gum increases intestinal motility after abdominal surgery, accelerates the healing process, and shortens the time to discharge from the hospital. 12 , 17 , 23 , 24 In this study, the women who chewed gum had shorter discharge times (47.17 ± 1.51 hours) than those in the control group (49.11 ± 1.62 hours). In the study of Abd-El-Maeboud et al 22 , the women in the experimental group were discharged after 40.8 hours and the women in the control group after 50.5 hours (p<0.05).…”

Section: Discussionmentioning

confidence: 51%

Gum chewing and bowel function after Caesarean section under spinal anesthesia

Akalpler¹,

Okumuş²

2018

Pak J Med Sci

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Objective:To determine the effect of gum chewing on bowel function postoperatively in women after cesarean delivery under spinal anesthesia.Methods:This semi-experimental study was conducted at Near East University Hospital Obstetrics and Gynecology Clinic in Turkish Republic of Northern Cyprus with 45 women in both the +experimental and control groups, between October 2016 and June 2017. The women in the experimental group chewed gum two hours after surgery until gut sounds were heard and nutrition was given orally.Results:The mean age of the women was 30.20 ± 4.88 in the experimental group and 30.85 ± 4.47 in the control group. In the control group, the mean time of flatulation was 26.33 ± 7.54 hours, whereas the mean time was 13.44 ± 6.56 hours in the experimental group. The mean duration to the hearing of intestinal sounds was 16.35 ± 5.20 hours in the control group and 12.62 ± 7.73 hours in the experimental group.Conclusion:The results of the present study indicate that sugar free gum chewing in the post-operative period which is cesarean section under spinal anesthesia shortened the duration of the intestinal movement, the time of first flatulation, and discharge time.

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“…14,15,17 Studies have used different brands of chewing gum, some of which were of flavoured type. [6][7][8][9][10][11][12][13] One study has shown that xylitol ingredient in sugar free gum is associated with early recovery of bowel function and thus may be superior to non-xylitol gum. 13 Chewing gum was administered 6 hours after surgery in our trial.…”

Section: Discussionmentioning

confidence: 99%

“…5 Few studies in the recent past have shown the efficacy of chewing gum in increasing bowel motility in caesarean section patients. [6][7][8][9][10][11][12][13] Ciardulli in a metanalysis of 17 randomised controlled trials (RCT) has states that chewing gum is a safe and inexpensive intervention for early bowel recovery in caesarean delivery patients. They also suggested administering chew gum three times a day for about 30 minutes until the first flatus is associated with early recovery of bowel motility.…”

Section: Introductionmentioning

confidence: 99%

Effect of chewing gum on bowel recovery following caesarean section: a randomized controlled trial

et al. 2020

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Background: Postoperative ileus is the most frequent complication of any abdominal surgery. In case of patients who under caesarean sections it adds to the prolonged hospital stay and morbidity. Chewing gum acts similar to sham feeding has been proven to hasten return of gastrointestinal motility in non-obstetric abdominal surgery. To study the effectiveness of chewing gum on recovery of bowel function following Caesarean section.Methods: This study, a randomized controlled trial was conducted in the Department of Obstetrics and Gynecology, JIPMER over a period of 2 months. Age, parity and details of patients who underwent caesarean section (type/indication/duration) were noted. They were randomised and allocated into two groups, group a (gum chewing group) and group B (control group). Using a verbal questionnaire time of first feeling of hunger, first passage of flatus and first passage of feces were noted.Results: Mean time of first passage of flatus in group 1 (gum chewing) was 16.04±5.7 as compared to 22.05±4.8 in group 2 (standard care) and the difference was found to be statistically significant (p<0.01). Mean time of first passage of feces in group 1(gum chewing) was 27.08±3.2 as compared to 32.04±4.3 in group 2 (standard care). None of the patients in our study had any side effects with use of chewing gum.Conclusions: Chewing gum significantly improves bowel motility when administered to patients following caesarean section and may help.

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Effect of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge in the early period after caesarean section

Abstract: This study provides useful information to clinician and researchers when determining practices such as postoperative standing up in early period, gum chewing and early liquid intake related to postoperative bowel functions after abdominal operations.

Cited by 10 publications

References 26 publications

The relation between gum chewing in early post-operative period and the return of gastro-intestinal function after caesarean section

The relation between gum chewing in early post-operative period and the return of gastro-intestinal function after caesarean section

Gum chewing and bowel function after Caesarean section under spinal anesthesia

Effect of chewing gum on bowel recovery following caesarean section: a randomized controlled trial

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