CESAREAN DELIVERY

In obstetrics, the rate of caesarean section has consistently expanded globally.Generally, after caesarean section the solid food has been stopped to women for 1st 24 hoursso that it could avoid gastro intestinal complications. Mostly in all the cesarean section caseswas operated by regional anesthesia where in little intestinal manipulation and short operativetime. The aim of this study is to know that the gastrointestinal effect on early feeding versusdelayed feeding after uncomplicated cesarean section and the better practice as well asadvocated in future. Objective: Evaluation of the gastro intestinal effects with early feedingis better than delayed feeding after cesarean delivery. Study Design: Randomized controlledclinical trial. Setting: Obstetrics & Gynaecological Department, Liaquat University Hospital,and Hyderabad. Period: January 2012 to January 2013. Methodology: A total number of352 women uncomplicated emergency or elective cesarean section under spinal anesthesiawas included in this study. Consenting women were randomly assigned into two groups suchas early feeding group and delayed feeding group. Any complaint about anorexia, nausea,vomiting, abdominal discomfort and abdominal distention on physical examination was noted.Results: Rate of ileus, anorexia was significantly low in early feeding groups as compare todelayed feeding group while rate of vomiting and abdominal distension were not significantbetween groups. Average time of first bowel sound and time of passage of flatus and passageof stool were significant between groups. Conclusion: In conclusion, early feeding fastens therecovery and lowers complication rate.