The Role of Xylitol Gum Chewing in Restoring Postoperative Bowel Activity After Cesarean Section

Lee, Jian Tao; Hsieh, Mei-Hui; Cheng, Po‐Jen; Lin, Jainn-Jim

doi:10.1177/1099800415592966

Cited by 13 publications

(14 citation statements)

References 22 publications

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“…The result was consistent with the previous study stated that chewing gum was a positive effect in accelerating first flatus, first bowel movement, first bowel sounds, first bowel movements and length of stay in hospital (10)(11). The chewing gum has a positive effect on restoring intestinal function after the birth of cesarean section in the initial postoperative period (12). Chewing xylitol gum affects increasing intestinal activity which can be monitored through the appearance of bowel sounds and flatus.…”

Section: Discussionsupporting

confidence: 91%

The Effect of Chewing Gum on Improving the Intestine Peristaltic Among Post Cesarean Sectio Patients at Hospital of Kendari City

Herman

Santoso²,

Yunitasari³

2019

IJNHS

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Cesarean section is a surgical intervention that most significantly affects the central nervous system and slows down bowel movements post section Caesarea. Intestinal function in women undergoing section caesarian surgery is essential, starting early. The study aimed at examining the effect of chewing gum on increasing the intestinal peristalsis in post-cesarean section. This study used a quasi-experimental, pre, and post with a control group was applied in this study. Seventy-two samples were recruited using a non-probability sampling such as consecutive sampling. CG was given to the intervention group 3 times, per 3 hours for 5 minutes with a frequency of chewing 30 times. Data analysis was performed and presented in descriptive statistics, and significant findings were computed using the paired t-test. The results showed that the mean Intestine Peristaltic intervention group increases from 11,47+1,647 to 16,61+2,487 after the intervention. Meanwhile, in the control group, the mean Intestine Peristaltic level slightly increases from 11,31+1,470 to 14,22+1,290. The t-test obtained a p-value of 0.000, indicating that there were significant differences in the increase Intestine Peristaltic between the intervention and the control group. Chewing gum can increase intestinal peristalsis in cesarean section patients. Based on the findings, The nurse profession can use chewing gum to become one of the nursing independent interventions because easy. Keywords: cesarean section, peristaltic, chewing gum.

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Section: Discussionsupporting

confidence: 91%

The Effect of Chewing Gum on Improving the Intestine Peristaltic Among Post Cesarean Sectio Patients at Hospital of Kendari City

Herman

Santoso²,

Yunitasari³

2019

IJNHS

View full text Add to dashboard Cite

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“…All studies have reported no statistical significant differences in the baseline characteristics between intervention and control groups. Meanwhile, some differences among studies were found in the gum chewing interventions, including the timing of initiation and frequency of gum chewing, one study [24] also compared the efficacy of xylitol-containing and xylitol-free gum chewing with standard postoperative care protocol, in our study we only extracted the data in xylitol-free gum chewing and control groups. Interestingly, all the results favored the usage of gum chewing after caesarean sections.…”

Section: Resultsmentioning

confidence: 99%

“…The time to first bowel sound Six studies [19, 20, 22–24, 26] have reported the time to first bowel sound, The summary WMDs on the time to first bowel sound (hours) was -4.19(95% CI: -6.41– -1.97), with evidence of heterogeneity ( P < 0.001, I 2 = 97%) (Fig. 3c).…”

Section: Resultsmentioning

confidence: 99%

“…A recent study [32] compared the effect of gum chewing, early oral hydration, and early mobilization on intestinal motility after cesarean birth, concluded that all of the three different interventions increased intestinal motility, and should be recommended during postoperative routine care to shorten hospital stay and prevent postoperative ileus, future research needs to further clarify the roles of those three interventions. Notably, one included RCT [24] also evaluated the effects of xylitol-containing and xylitol-free gum chewing on gastrointestinal recovery after cesarean section, the results indicated that xylitol-containing gum might be superior to xylitol-free gum, while the most included RCTs adopted the sugar-free gum in their interventions. The sugar ingredients in sugar free gum (e.g., sorbitol and xylitol) may stimulate bowel mobility and exert a laxative effect, yet the evidence on whether sugar substitutes in sugar-free gum affect bowel function remain conflicting [33, 34], more researches in this area are also warranted.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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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“…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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The Role of Xylitol Gum Chewing in Restoring Postoperative Bowel Activity After Cesarean Section

Abstract: After cesarean section, chewing gum increased participants' return of bowel activity, as measured by the appearance of bowel sounds and the passage of flatus. In this context, xylitol-containing gum may be superior to xylitol-free gum.

Cited by 13 publications

References 22 publications

The Effect of Chewing Gum on Improving the Intestine Peristaltic Among Post Cesarean Sectio Patients at Hospital of Kendari City

The Effect of Chewing Gum on Improving the Intestine Peristaltic Among Post Cesarean Sectio Patients at Hospital of Kendari City

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

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

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