Effectiveness of Gum Chewing on the Post-OP Recovery of Gastrointestinal Function after Caesarean Section

Aiswarya, S (2019) Effectiveness of Gum Chewing on the Post-OP Recovery of Gastrointestinal Function after Caesarean Section. Masters thesis, Madras Medical College, Chennai.

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Abstract

INTROSUCTION: Caesarean section commonly called the ‘C’- SECTION is the most commonly performed surgery all over the world. The percentage of caesarean sections has been on the rise in the recent times due to a whole arena of causes including maternal request. And so does the complications and morbidity associated with caesarean section are on the increasing trend. In general, abdominal surgeries are associated with a higher risk of post-operative paralytic ileus especially in the presence of factors like prolonged operating time, excessive bowel manipulation, immobilisation, emergency procedures. Post-operative paralytic ileus is reported to occur in up to 25% of patients causing abdominal distension, vomiting causing great discomfort to the patient and prolonged hospital stay requiring a series of interventions. This has resulted in decreased patient satisfaction scores, increased requirement of pain relief medications and an added burden on the healthcare expenditure. AIM OF THE STUDY: To study the effectiveness of Gum Chewing on the post-op recovery of gastrointestinal function after caesarean section OBJECTIVES: 1. The primary objective is to determine the relationship between gum chewing and recovery of gastro intestinal function after uncomplicated caesarean section. 2. To compare the time taken for first bowel sound to appear, first passage of flatus, first passage of stools, between patients who were given chewing gum with an intention to improve bowel motilty with those who were not. MATERIALS AND METHODS: This prospective study was conducted at IOG, Egmore, Chennai in the Department of Obstetrics and Gynaecology. The period of study was for 6 months between April 2017 to September 2017. All women undergoing elective caesarean section at IOG with no medical comorbidities or any contraindication for gum chewing were included in the study. Women undergoing caesarean hysterectomy, prolonged surgery were further excluded. The time taken for first bowel sound to appear, first passage of flatus, first passage of stools, between patients who were given chewing gum were compared with those who were not and the values were recorded. RESULTS: The mean interval of Intestinal parameters was statiscally significant shorter in the study group than the control group. The mean time for the first bowel sounds to appear was 10.1 vs 15.5, p=0.0005, first passage of flatus 17.8 vs 24.2, p=0.0005, and first bowel movement, 20.3 vs 30, p=0.0005, all of which are statistically significant. Hence the proposed hypothesis that gum chewing can positively promote intestinal motility in the post-operative period after caesarean section was re-emphasised. CONCLUSION: Our study has further supported that gum chewing is associated with early recovery of intestinal function after caesarean section, which may be helpful to reduce the time to first passage of flatus, first defecation, first bowel sound, first bowel movement and shorten the length of hospital stay. Gum chewing offers a safe, simple and inexpensive for hastening the recovery of intestinal function after caesarean section, which is worthy of promotion for clinical use.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Sham feeding, Paralytic ileus, Cephalic vagal phase, Gum chewing, Improved bowel motility, Passage of flatus, Passage of stools, Post-operative Caesarean section, Early feeding, Vomiting, Abdominal distension.
Subjects: MEDICAL > Obstetrics and Gynaecology
Depositing User: Subramani R
Date Deposited: 28 Aug 2019 17:41
Last Modified: 28 Aug 2019 17:41
URI: http://repository-tnmgrmu.ac.in/id/eprint/11316

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