Effect of caffeine on postoperative bowel movement and defecation after cesarean section

Abstract

Introduction and Importance: Inadequate bowel movement after cesarean section (C-section) can delay the intake of solid diet. Coffee is reported to have beneficial effects on bowel motility after the surgery. This study is designed to evaluate the effects of coffee on bowel movement and defecation following C-section. Methods In this randomized clinical trial study, women undergoing elective C-section at the hospital of (XXX) during 2019–2020 were included. Following the surgery, the patients were divided in case (coffee) and control (water) group. At three different interval after the surgery, 111 ml of coffee or water was given to these patients. After the intervention, time of bowel movement, first defecation, body mass index (BMI), age, gestational age, parity and gravidity were recorded and evaluated between the two groups. Results Of total 36 patients (18 in study and control group, respectively), the mean age, gravidity, parity, BMI and gestational age was not significantly different, p-value<0.05. The mean onset of bowel movements in case group was 14.56 h and control group was 16.83 h and the first defecation after cesarean section in case and control group was 27.78 and 31.67 h, respectively. The two groups were significantly different in both the terms, p-value = 0.042 and p-value = 0.002, respectively. Conclusion The postoperative bowel movement and defecation time is shorter with the intake of coffee among patients undergoing C-section.

Role Of Caffeine As A Bowel Stimulant After Major Gynecological Surgeries

“…Among the findings of the secondary outcome measures in our study, mean time to first bowel movement (37±6.8 vs. 30±4.8 hours) showed significant differences between the two groups. These findings were in agreement with a study conducted by Zamanabadi et al who found that coffee intake led to shorter postoperative bowel movement in women undergoing C-section 8 . Similar findings were also reported by Parnasa et al and Gkegkes et al Their results concluded that postoperative caffeine consumption led to a significantly shorter time to first bowel movement 18,19 .…”

“…Several trials have found that coffee administration can reduce postoperative ileus. In a study done by Hasler in 2019 on patients undergoing laparoscopic colorectal elective surgery, coffee was found to decrease the time to nasogastric tube removal and hospital stay 7. Additionally, Zaman Abadi in 2021 in a study on women undergoing C-section found that coffee intake led to shorter postoperative bowel movement and defecation times 8 .…”

Vascular trauma injury evaluation in Khorramabad, Iran: a cross-sectional study

“…The most common complication reported was the need for reintervention and operation due to vascular injury. 39.5% of patients underwent revision surgery in our study and most of the patients in our surgery received primary repair of the injury 21 .…”

Caffeine intake enhances bowel recovery after colorectal surgery: a meta-analysis of randomized and non-randomized studies

“…Interestingly, the mechanism of action of coffee on the brain-gut axis with its propulsive effects is not fully understood [16]. While the beneficial effect of coffee consumption on postoperative bowel recovery after gynecologic surgery and cesarean section has been consistently demonstrated in randomized controlled trials (RCTs) [17][18][19], there are still conflicting results regarding coffee and caffeine intake in colorectal surgery, especially with regard to bowel motility [20][21][22][23]. Thus, the primary objective of this meta-analysis was to accurately evaluate the impact of caffeine and coffee consumption on postoperative outcomes after colorectal surgery, with a special focus on bowel recovery, as a potential cost-effective, easily accessible, and practical strategy for POI prevention.…”