Effect of Chewing Gum on Recovery of Intestinal Function after Caesarean Section
Creators
- 1. Senior Resident, Department of Obstetrics & Gynaecology, S.M.S. Medical College, Jaipur, Rajasthan
- 2. Consultant, Department of Obstetrics & Gynaecology, BIMR, Gwalior, M.P.
- 3. 3rd Year PG Resident, Department of Pathology, Chirayu Medical College and Hospital, Bhopal, M.P.
- 4. Associate Professor, Department of General Surgery, R.U.H.S. College of Medical Sciences, Jaipur, Rajasthan
Description
Background: Chewing gum may act as non-pharmacological inexpensive measure to help in early postoperative recovery by increasing gut motility and preventing post-operative ileus. Aims: The present study was conducted to find out the role of chewing gum on the recovery of bowel function post caesarean section. Settings and Design: It was a Randomized Controlled Trial conducted in Obstetrics and Gynaecology department in a tertiary care hospital. Methods and Materials: 82 post elective caesarean patients were enrolled including 41 cases and 41 controls. Cases were asked to chew chewing-gum after surgery along with standard routine post-operative care and controls were given only standard postoperative care. Both groups were examined to detect the time of first bowel sound, first passing flatus, first time of feeling hunger, time of first defecation and time of first eating. Statistical Analysis: Data was compiled into Microsoft Office Excel version 2013 and descriptive statistical analysis was carried out. Qualitative variables and quantitative data were compared using (χ2) test and (t) test respectively. Statistical significance was considered at p-value ≤ 0.05. Results: Highly significant difference (p=<0.0001) was seen in time of hearing of first bowel sound and first passage of flatus, significant difference (p=0.022) was seen for first feeling of hunger and first eating and no significant difference (p=0.06) was seen for first defecation among two groups. Conclusion: Chewing gum in patients of CS is well tolerable, feasible and cost effective intervention that positively influences the recovery of bowel function and hence reduces hospital stay and overall cost.
Abstract (English)
Background: Chewing gum may act as non-pharmacological inexpensive measure to help in early postoperative recovery by increasing gut motility and preventing post-operative ileus. Aims: The present study was conducted to find out the role of chewing gum on the recovery of bowel function post caesarean section. Settings and Design: It was a Randomized Controlled Trial conducted in Obstetrics and Gynaecology department in a tertiary care hospital. Methods and Materials: 82 post elective caesarean patients were enrolled including 41 cases and 41 controls. Cases were asked to chew chewing-gum after surgery along with standard routine post-operative care and controls were given only standard postoperative care. Both groups were examined to detect the time of first bowel sound, first passing flatus, first time of feeling hunger, time of first defecation and time of first eating. Statistical Analysis: Data was compiled into Microsoft Office Excel version 2013 and descriptive statistical analysis was carried out. Qualitative variables and quantitative data were compared using (χ2) test and (t) test respectively. Statistical significance was considered at p-value ≤ 0.05. Results: Highly significant difference (p=<0.0001) was seen in time of hearing of first bowel sound and first passage of flatus, significant difference (p=0.022) was seen for first feeling of hunger and first eating and no significant difference (p=0.06) was seen for first defecation among two groups. Conclusion: Chewing gum in patients of CS is well tolerable, feasible and cost effective intervention that positively influences the recovery of bowel function and hence reduces hospital stay and overall cost.
Files
IJPCR,Vol15,Issue4,Article179.pdf
Files
(347.8 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:99410054b23e36d23bd904f07a4a9115
|
347.8 kB | Preview Download |
Additional details
Dates
- Accepted
-
2023-03-20
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue4,Article179.pdf
- Development Status
- Active
References
- 1. Hafeez M, Yasin A, Badar N, Pasha MI, Akram N, Gulzar B. Prevalence and indications of caesarean section in a teaching hospital. JIMSA. 2014;27(1):15-6. 2. Izveren A O, Dal U. The early period complications in patient who were performed abdominal surgery intervention and the nurse's practices for these complications. Sa˘glık Bilimleri Fak¨ultesi HemsirelikDergisi2011;36–46 3. Wen Z, Shen M, Wu C, Ding J, Mei B. Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis. BMC pregnancy and childbirth. 2017 Dec;17(1):105. 4. Condon RE et al. Human colonic smooth muscle electrical activity during and after recovery from postoperative ileus. American Journal of Physiology. 1995; 269:408–417. 5. Cevik SA. The Effect Of Gum Chewing On Bowel Sounds, Passing Intestinal Gas,and Early Discharge From Hospital In Early Post-Caesarean Period: A systematic review. International Journal of Education and Research 2016;4(1):323- 326 6. Hitti M. Chewing gum may shorten hospital stays after colon surgery. Availablefrom:http://www.webmd.com/ colorectal-cancer/ news/ 20060221/ gum-may-aid-colon-surgery-recovery; accessed on 20th June 2018.7. Mansour SE, Elnegeri MA, Ibrahim AA. Chewing Gum after Cesarean Section: It's Effect on Regaining Intestinal Function. IOSR Journal of Nursing and Health Science 2016;5(6): 75-83. 8. Ledari FM, Barat S, Delavar MA. Chewing gums has stimulatory effects on bowel function in patients undergoing cesarean section: A randomized controlled trial. Bosnian journal of basic medical sciences. 2012 Nov;12(4):265. 9. Quah HM, Samad A, Neathey AJ, Hay DJ, Maw A. Does gum chewing reduce postoperative ileus following open colectomy for left-sided colon and rectal cancer? A prospective randomized controlled trial. Colorectal Dis. 2006 ;8(1):64-70 10. Neuman M, Alcock G, Azad K, Kuddus A, Osrin D, More NS, Nair N, Tripathy P, Sikorski C, Saville N, Sen A. Prevalence and determinants of caesarean section in private and public health facilities in underserved South Asian communities: cross-sectional analysis of data from Bangladesh, India and Nepal. BMJ open. 2014 Dec 1;4(12): e005982 11. Abd-El-Maeboud K, Ibrahim M, Shalaby D, Fikry M. Gum Chewing Stimulates Early Return Of Bowel Motility After Caesarean Section. BJOG 2009;116:1334-9 12. Safdari F, Salehian T, Gangi F, Beigi M. The Effect of Chewing Sugar Free Gum after Elective Cesarean-Delivery on Return of Bowel Function in Primiparous Women. QOM University of Medical Sciences Journal.2011; 4(4):16 - 20. 13. Kafali H, Duvan CI, Gözdemir E, Simavli S, Onaran Y, Keskin E. Influence of gum chewing on postoperative bowel activity after cesarean section. Gynecol Obstet Invest. 2010;69(2):84-7 14. Shang H, Yang Y, Tong X, Zhang L, Fang A, Hong L. Gum chewing slightly enhances early recovery from postoperative ileus after cesarean section: results of a prospective, randomized, controlled trial. Am J Perinatol. 2010;27(5):387-91 15. Zhu YP, Wang WJ, Zhang SL, Dai B, Ye DW. Effects of gum chewing on postoperative bowel motility after caesarean section: a meta-analysis of randomised controlled trials. BJOG: An International Journal of Obstetrics & Gynaecology. 2014 Jun 1;121(7):787- 92. 16. Huang HP, He M. Usefulness of chewing gum for recovering intestinal function after cesarean delivery: A systematic review and meta-analysis of randomized controlled trials. Taiwanese Journal of Obstetrics and Gynecology. 2015 Apr 1;54(2):116-21. 17. Ajuzieogu OV, Amucheazi A, Ezike HA, Achi J, Abam DS. The efficacy of chewing gum on postoperative ileus following cesarean section in Enugu, South East Nigeria: A randomized controlled clinical trial. Nigerian journal of clinical practice. 2014;17(6):739-42. 18. Jakkaew B, Charoenkwan K. Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial. Archives of gynecology and obstetrics. 2013 Aug 1;288(2):255-60. 19. Harma M, Barut A, Arıkan İ, Harma M. Gum-Chewing Speeds Return of First Bowel Sounds But Not First Defecation After Cesarean Section. Anatol J Obstet. Gynecol.2009; 1(1):1-3. 20. Akhlaghi F, Pourjavad M, Mansouri A, Tara F, Vahedian M. Effect of Gum Chewing on Prevention of Post Cesarean Ileus. Hayat 2008; 14(2): 35–40.