Effects of Early Oral Feeding versus Delayed Oral Feeding on Bowel Function, Gastrointestinal Complications and Surgical Recovery after Cesarean Section under Regional Anesthesia: Systematic Review and Meta-Analysis

Kim, HyoJin; Jeon, YeongKyung; Yoon, So-Young; Lee, GeumMoon

doi:10.4040/jkan.21127

Cited by 3 publications

(4 citation statements)

References 28 publications

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“…EOF after CS not only accelerates return of bowel function and surgical recovery but also reduces gastrointestinal complications. [ 7 ] The guidelines and the current study suggest that EOF should be offered to women who have undergone CS to improve the recovery experience and reduce overall medical costs. In view of the doctors and nurses low acceptability and practice of the guidelines in China, [ 33 ] it is better to conduct more research to explore the effect of regular diet within 2 hours after CS in Chinese population.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6] It could lead to series of gastrointestinal dysfunction symptoms (e.g., difficulties in defecation, abnormal borborygmus, intestinal distension, abdominal pain, nausea, and vomiting), which would further impede the enhanced recovery after surgery (ERAS) of women with CS. [7] So, the recovery of gastrointestinal function is a crucial indicator for feeding guidance after all kinds of abdominal surgery and the first anal exhaustion time [8,9] or borborygmus time [10,11] were set as the primary outcome of recovery usually. With the introduction of the "3-child" policy in 2021 of China, [12] the increase of high-risk pregnancies may further lead to an increase in the number of CSs, and obstetrics will face more challenges.…”

Section: Introductionmentioning

confidence: 99%

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Factors affecting gastrointestinal function recovery after cesarean section among Chinese mothers: A cross-sectional study

Liu,

Xiang,

Ren

et al. 2023

Medicine

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This study was conducted to explore the influencing factors of gastrointestinal function recovery after cesarean section (CS), which could provide a reference for the enhanced recovery after surgery in obstetrics. This is a cross-sectional survey on Chinese mothers receiving CS. The participants’s socio-demographic characteristics, perioperative diet, medical condition and gastrointestinal function after surgery were collected by a self-designed questionnaire. Binary logistic regression analysis was employed to explore the influencing factors of gastrointestinal function recovery after CS. A total of 1501 (94.76%) valid questionnaires were collected. The first borborygmus was 2.21 ± 0.63 hours, and the first anal exhaust was 35.73 ± 14.85 hours after the CS. The incidence of abdominal distension and intestinal obstruction were 15.1% and 0.7%, respectively. The parity, type of CS, 2-hours bleeding after surgery, time of first meal after surgery, whether taking peppermint water after surgery were the independent influencing factors for gastrointestinal function recovery after CS. We should pay more attention to the mothers with scarred uterus, manage the labor process strictly, and reduce 2-hours bleeding after surgery. The mothers with CS should also be encouraged to eat early and take peppermint water to promote intestinal peristalsis actively.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors affecting gastrointestinal function recovery after cesarean section among Chinese mothers: A cross-sectional study

Liu,

Xiang,

Ren

et al. 2023

Medicine

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“…Although the mean oral in-taking time in this study was longer than the guidelines suggested because of the differences in actual clinical situation and doctors' academic perspectives, it has still identi ed the role of early in-taking in promoting the recovery of gastrointestinal function. Early oral feeding(EOF) after C-section not only accelerates return of bowel function and surgical recovery but also reduces gastrointestinal complications [7] . The guidelines and the current study suggest that EOF should be offered to women who have undergone C-section to improve the recovery experience and reduce overall medical costs.…”

Section: Early Oral Feeding (Eof) After C-section Can Promote the Rec...mentioning

confidence: 99%

“…It could lead to series of gastrointestinal dysfunction symptoms (e.g. di culties in defecation, abnormal borborygmus, intestinal distension, abdominal pain, nausea and vomiting), which would further impede the enhanced recovery after surgery (ERAS) of women with C-section [7] . Exploring the in uencing factors of gastrointestinal function after C-section can give clinical workers certain references in early prevention and timely intervention for postoperative complications, and further promote recovery of women.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting gastrointestinal function after cesarean section among Chinese mothers: A cross-sectional study

Liu

Xiang

Ren

et al. 2022

Preprint

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Aim This study was conducted to learn about the influencing factors of gastrointestinal function after cesarean section (C-section), which could provide a reference for the Enhanced Recovery after Surgery (ERAS) in Obstetrics. Methods This is a cross-sectional survey on Chinese mothers receiving C-section. The participants’s socio-demographic characteristics, perioperative diet, medical condition and gastrointestinal function after surgery were collected by a self-designed questionnaire. Binary logistic regression analysis was employed to explore the influencing factors of gastrointestinal function after C-section. Results A total of 1501 (94.76%) valid questionnaires were collected. The first borborygmus was 2.21 ± 0.63 hours, and the first anal exhaust was 35.73 ± 14.85 hours after the C-section. The incidence of abdominal distension and intestinal obstruction were 15.1% and 0.7%, respectively. The two-hours bleeding after surgery, time of first meal after surgery, whether performing sacrococcygeal physical therapy and taking peppermint water after surgery were the independent protective factors for gastrointestinal function recovery after C-section. Conclusion The new mothers with C-section should be encouraged to eat early, perform sacrococcygeal physical therapy and take peppermint water to promote intestinal peristalsis actively.

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The awareness of enhanced recovery after surgery (ERAS) cesarean delivery guidelines among anesthesiology and reanimation assistants in Turkey; a questionnaire study

Dedebagı,

Özden,

Özcan

et al. 2024

BMC Anesthesiol

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Background To reduce maternal-fetal morbidity and mortality, it is becoming increasingly important for anesthetists to understand and implement enhanced recovery after surgery (ERAS) cesarean delivery guidelines. Our aim was to reveal the knowledge of anesthesia assistants in Turkey about ERAS during cesarean delivery and to increase their awareness of ERAS. Methods This descriptive study was conducted in the city of Isparta, Turkey in 2023. The survey, which was approved by the ethics committee, was distributed to participants across Turkey via e-mail and online messages. The survey comprises of a total of 42 questions evaluating perioperative ERAS recommendations. Results Of the 404 participants in our survey, 59.9% were associated with university hospitals and 65.8% had completed three or more years of education. A total of 87.9% of the participants were familiar with ERAS; however, only 42.8% had received ERAS training. Although 93.8% of the participants’ institutions performed a cesarean delivery, ERAS recommendations were only implemented at a rate of 48%. This may be due to the absence of an ERAS team, which was identified in our survey at a high rate of 66.6%. Conclusion Awareness about ERAS was high among the participants, but the implementation rates of some recommendations were low. The reason for this may be the inability to form a multidisciplinary team and inadequate training of participants. For this purpose, we recommend the formation of a multidisciplinary team for ERAS protocol implementation and increased participant training opportunities.

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Effects of Early Oral Feeding versus Delayed Oral Feeding on Bowel Function, Gastrointestinal Complications and Surgical Recovery after Cesarean Section under Regional Anesthesia: Systematic Review and Meta-Analysis

Cited by 3 publications

References 28 publications

Factors affecting gastrointestinal function recovery after cesarean section among Chinese mothers: A cross-sectional study

Factors affecting gastrointestinal function recovery after cesarean section among Chinese mothers: A cross-sectional study

Factors affecting gastrointestinal function after cesarean section among Chinese mothers: A cross-sectional study

The awareness of enhanced recovery after surgery (ERAS) cesarean delivery guidelines among anesthesiology and reanimation assistants in Turkey; a questionnaire study

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