The efficacy of chewing gum on postoperative ileus following cesarean section in Enugu, South East Nigeria: A randomized controlled clinical trial

Ajuzieogu, OV; Amucheazi, AO; Ezike, HA; Achi, JosephO; Abam, DS

doi:10.4103/1119-3077.144388

Cited by 21 publications

(17 citation statements)

References 17 publications

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“…The time to first defecation Seven studies [19, 20, 23–27] have reported the time to the first passage of flatus, The summary WMDs on the time to first defecation (hours) was -7.91(95% CI: -11.14– -4.67), with evidence of heterogeneity ( P < 0.001, I 2 = 93%) (Fig. 3b).…”

Section: Resultsmentioning

confidence: 99%

Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis

Wen

Shen

et al. 2017

BMC Pregnancy Childbirth

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BackgroundGum chewing has been reported to enhance the intestinal function recovery after caesarean section, current perspectives and practice guidelines vary widely on the use of gum chewing, more studies on the role of gum chewing after caesarean section are needed.MethodsWe performed a comprehensive, systematic meta-analysis of randomized controlled trials (RCTs) on the efficacy of gum chewing after caesarean section. Studies were identified by searching EMBASE et al database (until June 30, 2016). Summary odd ratios or weighted mean differences with 95% confidence intervals were calculated for each outcome with fixed- or random-effects model.ResultsTen RCTs with a total of 1659 women were included in our meta-analysis. Gum chewing provided significant benefits in reducing the time to first passage of flatus, first defecation, first bowel sound, first bowel movement and the length of hospital stay, but not in the time to first feeling of hunger.ConclusionsGun chewing hastens the intestinal function recovery after caesarean section and offers a safe and inexpensive option. High-quality and larger-scale RCTs are still warranted to clarify the role of gum chewing in intestinal function recovery after caesarean section.

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Section: Resultsmentioning

confidence: 99%

Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis

Wen

Shen

et al. 2017

BMC Pregnancy Childbirth

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“…Therefore, it is important to find a safe method to reduce POI. Many clinical methods have been attempted to reduce POI, including early feeding, fluid restriction, gum chewing, preoperative carbohydrate loading, and epidural analgesia [5][6][7][8][9][10][11][12]. However, none of these have been completely successful in the prevention of POI.…”

Section: Introductionmentioning

confidence: 99%

Can coffee consumption be used to accelerate the recovery of bowel function after cesarean section? Randomized prospective trial

et al. 2020

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Objectives: To evaluate whether coffee consumption accelerates the recovery of bowel function after cesarean section or not. Material and methods: This study was designed as randomized controlled study. Patients were randomly assigned to one of two groups: Ultimately, Group 1 (n = 51) was the study group and drank three cups of coffee after cesarean, whereas group 2 (n = 52) was not given any treatment. The primary outcome measure was the time to first defecation after surgery, the secondary outcomes were time to first bowel movement, passage of flatus, time to toleration of a solid diet, additional antiemetic and analgesic requirement. Results: There were no significant differences in demographic variables between the groups. The mean time to passage of first flatus was significantly shorter in the study group than the control group (8.6 ± 3.3 h vs 11.3 ± 7.5 h, respectively; p = 0.022). First defecation was 20.7 ± 11.5 h for the study group and at 29.1 ± 14.3 h for the control group (p = 0.001). In addition, there was a significant difference in mean time to toleration of solid food between the study and control groups (8.78 ± 2.33 h vs 12.88 ± 4.2.60 h, respectively; p < 0.001). Conclusions: Coffee can be used in patients to enhance the recovery of gastrointestinal function after elective cesarean section.

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“…Abd-EI-Maeboud et al, [12] [20] [21] showed that chewing gum after surgery can shorten hospitalization time. However, study [18] showed that it has no significant difference in hospitalization time compared with control group. Study [31] showed that mastication activates histamine nervous system conduction signals and promotes histamine production, thereby reducing hunger by inhibiting food intake by receptors located in the center of satiety.…”

Section: Effect Of Chewing Gum On Gastrointestinal Function Recovery mentioning

confidence: 85%

“…Xie Minyi et al, [25] investigated the effect of chewing gum at different Total (95% CI) Heterogeneity: Tau² = 56.60; Chi² = 306.77, df = 4 (P < 0.00001); I² = 99% Test for overall effect: Z = 3.11 (P = 0.002) time windows on the recovery of gastrointestinal function after gastrointestinal surgery, the results showed that the level of serum gastrin in group A (chewing gum at postoperative 2 h) were higher than those in group B (chewing gum at postoperative 6 h) and the incidence of abdominal distention was lower in group A than that in group B (P < 0.05), indicated that chewing gum the earlier, the effect is better. Some studies [15] [16] [17] [18] stopped chewing gum after discharge or 5 days of delivery, which was different from the general study, and it was not clear whether chewing gum was still meaningful after patients returned to normal diet, while in some studies [15] [16], patients chewed gum for more than one hour, the time of chewing was too long and the frequency was too much can easily lead to masseter muscle fatigue, abdominal distension, dizziness, nausea and other adverse reaction.…”

Section: Methodological Quality Of the Included Studiesmentioning

confidence: 99%

Effect of Gum-Chewing after Cesarean Section on Gastrointestinal Function Recovery: A Systematic Review and Meta-Analysis of Randomized Trials

Zhang¹,

Heng²,

Hu³

et al. 2019

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Objective: To evaluate the effect of chewing sugar-free gum on gastrointestinal function recovery after cesarean section. Methods: Randomized controlled trials comparing the use of chewing gum in postoperative recovery with a control group were retrieved from the databases including Pubmed, Cochrane Library, Science Direct, Web of Science, CBM, CNKI, Wanfang and VIP, et al. After screening literatures, evaluating the quality of studies, extracting data, the RevMan5.3 software was used for data analysis. Results: A total of 13 RCTs including 2233 patients were analyzed in the study. The results showed that chewing gum after cesarean delivery can effectively shorten the recovery time of bowel sounds, passage of flatus and first defecation (all P < 0.05). Conclusion: Chewing sugar-free gum after cesarean section can promote the early recovery of gastrointestinal function, but the side effects of chewing gum are still unclear, which needs more clinical, large sample and high-quality studies to further verify.

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The efficacy of chewing gum on postoperative ileus following cesarean section in Enugu, South East Nigeria: A randomized controlled clinical trial

Abstract: Gum-chewing has a beneficial effect on early return of bowel function following cesarean section and should be included in the postoperative management protocol.

Cited by 21 publications

References 17 publications

Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis

Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis

Can coffee consumption be used to accelerate the recovery of bowel function after cesarean section? Randomized prospective trial

Effect of Gum-Chewing after Cesarean Section on Gastrointestinal Function Recovery: A Systematic Review and Meta-Analysis of Randomized Trials

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