The Effect of Early Post Cesarean Feeding on Women’s Satisfaction
,
Abstract
Objective: Satisfaction and postoperative care of women who undergo cesarean section is an important aspect and demand due attention. Hunger and thirst are frequently encountered after cesarean delivery. These increase distressing symptom and unsatisfaction. The aim of this paper was to detect the effect of early post cesarean feeding on mothers' satisfaction.
Materials and methods: This study was a controlled trial. The research population was women delivering by cesarean section in Ommolbanin hospital, Mashhad, Iran. The samples consist of 82 women randomly assigned in two groups of study and control. The study group started oral fluids 4 hours after surgery, followed by regular diet after return of bowel sounds. The control group started oral fluids 12 hours after surgery and solid food was allowed after defecation. The groups were compared about satisfaction rate before discharge with VAS scale. Data were analyzed using chi-square, Fisher exact test, Kruskal walis test, t test and Mann Whitney.
Results: The mean of women's satisfaction was 96.2 in early feed group and 56.7 in the control group. There was a statistically significant difference between two groups (p=0.000).
Conclusion: this study showed that early feeding increases women's satisfaction. It is a safe, easy and enforceable intervention that can be usual in surgical units.
Pascoe GC. Patient satisfaction in primary health care. A literature review and analysis. Eval program plan 1983; 6: 185–210.
Houk CS, Brede CB, Anand KJS. Pediatric pin management. In: Gergory GA, editor. Pediatric Anesthesia. Weinstein MS, Nicolas SC, schreinmer MS. A single dose of Morphine increases The incidence of vomiting. Anesthesiology 1994; 81: 579.
Zhou Y, Fargang FA, Zhang Y. Quality assurance for interventional pain management procedure. Pain. Physicion. 2006; 9: 107–14.
Amison RN, Ross MJ, Hoopman P, Griffin F, Lery J, Daly M, et al. Assessment of postoperative pain management patient satisfaction and pexceived helpfacness. Clin J Pain 1997; 13: 299–36.
Nidhi Malhotra, Sanjivni K, Shikha P, Meenakshi J,Radhika B, Agrwala. Early oral hydration and its impact on bowel activity after elective caesarean section–our experience. European journal of obstetrics & Gynecology and reproductive biology 2005; 120: 53–56.
Horowitz IR. Postanaesthesia and postoperative care. In: Thompson JD, Rock JA, editors. Telindes operative gynecology. 8th ed. Philadelphia: JB Lippincott-Raven; 1997: 142.
Benhamou D, Técsy M, Parry N, Mercier FJ, Burg C. Audit of an early feeding program after cesarean delivery: patient wellbeing is increased. Can J anesth 2002; 49: 814–819.
Shamaeyan Razavi N. The effect of post cesarean early oral fluid on postoperative gasterointestioneal compliments. Thesis for Master of Science degree in midwifery Mashhad university 1381 (Persian).
Abd Rabbo S. Early oral hydration: a novel regimen for management after elective cesarean section. J Obstet Gynaecol 1995; 21: 563–7.
Patolia DS. Hilliard RL, Toy EC, Bker B. Early feeding after cesarean: randomized trial. Obstet Gynecol 2001; 98: 113–6.
Weinstein L, Dyne PL, Durbeck NB. The PROEF diet–a new postoperative regimen for early feeding. AM J Obstet Gynecol 1993; 168: 128–31.
Windsor J, Knight G, Hill F. Wound healing response in surgical patients: recent food intake is more important than nutritional status. Br J Surge 1998; 75: 135–7.
Delany HM, Demetriou AA, Teh E, Levenson SM. Effects of early postoperative nutritional support on skin wound and colon anastomosis healing. Journal of parenteral and enteral nutrition 1990; 14: 357–61.
Teoh WH, Shah MK, Mah CL.A randomized controlled trial on beneficial effects of early feeding post–caesarean delivery under regional anesthesia. Singapore Med J 2007: 48: 152–7.
Sekhavat, Karimi M, Tabatabayi A.The effect of early post cesarean feeding on gasterointestioneal compliments and satisfaction. Babol Medical University Journal 1387; 10: 67–72 (Persian).
Izbizky GH, Mining L, Sebastiani MA, Otano L.The effect of early versus delayed post cesarean feeding on women’s satisfaction: a randomized controlled trial. JOG 2008; 115: 332–8.
Charoenkwan K, Palapinyo C. Early solid food after cesarean section and postoperative ileus. Int J Gynaecol Obstet 2005; 90: 144–5.
Swart M, Sewell J, Thomas D. Intrathecal morphine for cesarean section:an assessment of pain relief, satisfaction and side effects. Anasthesia 1997; 52: 373–7.
Murphy JD. Henderson K, Bowden MI, Lewis M, Cooper GM.Bupivacaine versus bupivacaine and fentanyl for epidural analgesia: Effect on maternal satisfaction. BMJ 1991; 302: 564–7.
| Files | ||
| Issue | Vol 4, No 2 (June 2010) | |
| Section | Original Articles | |
| Keywords | ||
| Early feeding cesarean section satisfaction | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
