Nigerian Journal of Surgery

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 24  |  Issue : 1  |  Page : 6--11

Early Versus Delayed Oral Feeding after Uncomplicated Cesarean Section under Spinal Anesthesia: A Randomized Controlled Trial


Adamu O Ogbadua1, Teddy E Agida1, Godwin O Akaba1, Olumide A Akitoye2, Bissallah A Ekele1 
1 Department of Obstetrics and Gynecology, University of Abuja Teaching Hospital, Abuja, Nigeria
2 Department of Anesthesia, University of Abuja Teaching Hospital, Abuja, Nigeria

Correspondence Address:
Dr. Godwin O Akaba
Department of Obstetrics and Gynaecology, University of Abuja, University of Abuja Teaching Hospital, P.M.B 228, FCT, Abuja
Nigeria

Objective: The objective of this study is to compare the safety of early versus delayed oral feeding after uncomplicated cesarean section (CS) under spinal anesthesia. Methods: This was a randomized, controlled trial that enrolled 152 women who had uncomplicated CS under spinal anesthesia between January 2014 and June 2014. Women in the early feeding group had sips of oral fluid 6 h postoperatively while those in the delayed feeding group were on nil per oral for the first 24 h after surgery before commencement on liquid diet. Primary outcome measure was development of symptoms of paralytic ileus while secondary outcome measures included time interval to return of bowel sound, duration of hospital stay, and patients satisfaction which was determined using a visual analog score. Results: The incidence of mild ileus symptoms was similar in both groups. Early-fed group had significantly shorter mean postoperative time intervals to return of bowel sound, (7.3 h vs. 11.5 h [P = 0.005]), passage of flatus, (30.7 h vs. 37.5 h [P = 0.009]). Hospital stay was also significantly shorter in the early feeding group, (4.2 days vs. 4.9 days [P < 0.001]). Early-fed women had higher levels of satisfaction. Conclusion: Early initiation of oral feeding after uncomplicated CS under subarachnoid block is not associated with increased incidence of gastrointestinal symptoms or paralytic ileus.


How to cite this article:
Ogbadua AO, Agida TE, Akaba GO, Akitoye OA, Ekele BA. Early Versus Delayed Oral Feeding after Uncomplicated Cesarean Section under Spinal Anesthesia: A Randomized Controlled Trial.Niger J Surg 2018;24:6-11


How to cite this URL:
Ogbadua AO, Agida TE, Akaba GO, Akitoye OA, Ekele BA. Early Versus Delayed Oral Feeding after Uncomplicated Cesarean Section under Spinal Anesthesia: A Randomized Controlled Trial. Niger J Surg [serial online] 2018 [cited 2019 Jun 18 ];24:6-11
Available from: http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2018;volume=24;issue=1;spage=6;epage=11;aulast=Ogbadua;type=0