ABSTRACT
Background: Caesarean sections are increasing in number dramatically all over the world. So, it became very important to give more attention for their postoperative care. Objective: to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated Caesarean Section on the following post-operative outcomes: post-operative vomiting and abdominal distention, post-operative nausea and abdominal pain, the return of intestinal movements, duration of intravenous fluid administration, duration of hospital stay and participant satisfaction
Methods: this randomized controlled study was conducted at Ain Shams University Maternity Hospital. It was carried during the period from July 2016 to July 2017. 140 women, all of them underwent uncomplicated Cesarean Section under regional anesthesia were randomly assigned into two groups. In the immediate group: oral hydration was received in the first 2 hours postoperatively, and in the early group: oral hydration was received after 8 hours postoperatively
Results: all the results of the postoperative outcomes of both groups had non-significant differences except for the psychological satisfaction which was significantly higher in the immediate group with a [p<0.001]
Conclusion: immediate oral hydration group showed non-significant differences comparing with early oral hydration group regarding most of the postoperative outcomes, but the results were relatively better towards the immediate group. Also, immediate hydration is significantly better than early hydration regarding psychological satisfaction of women, allowing them to be more able to breastfeed their kids and to spend a less stressful time in the hospital
ABSTRACT
Background: caesarean sections performed every year are increasing in number dramatically all over the world. So, it became very important to give more attention for their postoperative care
Aim of the Work: to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated caesarean section on the following post-operative outcomes: post-operative vomiting and abdominal distention, post-operative nausea and abdominal pain, the return of intestinal movements, duration of intravenous fluid administration, duration of hospital stay and participant satisfaction
Patients and Methods: this randomized controlled study was conducted at Ain Shams University Maternity Hospital. It was carried during the period from July 2016 to July 2017. 140 women, all of them underwent uncomplicated cesarean section under regional anesthesia were randomly assigned into two groups. In the immediate group: oral hydration was received in the first 2 hours postoperatively, and in the early group: oral hydration was received after 8 hours postoperatively
Results: all the results of the postoperative outcomes of both groups had non-significant differences except for the psychological satisfaction which was significantly higher in the immediate group with a [p<0.001]
Conclusion: immediate oral hydration group showed non-significant differences comparing with early oral hydration group regarding most of the postoperative outcomes, but the results were relatively better towards the immediate group. Also, immediate hydration is significantly better than early hydration regarding psychological satisfaction of women, allowing them to be more able to breastfeed their kids and to spend a less stressful time in the hospital
ABSTRACT
Back ground: the third stage of labour begins immediately after the birth of the baby and ends with the expulsion of the placenta and fetal membranes. It is preceded by contraction and retraction of the uterus to reduce uterine size and expel the placenta with minimal haemorrhage. Placental cord drainage involves clamping and cutting of the umbilical cord after the birth of a baby and then, immediately unclamping the maternal side of the cord so the blood can drain freely into a container
Aim of the work: the aim of this study is to assess the effect of placental cord drainage during active management of the third stage of labour on reducing both blood loss and the length of the third stage
Materials and Methods: a randomized controlled trial was carried out on180 patients who underwent vaginal delivery at Ain Shams University Maternity Hospital labour ward. Population of this study were randomly assigned to either: Group A: 90 patients was the study group [cord drainage]. Group B: 90 patients was the control group [no cord drainage]. Moreover, the duration of third stage was compared as the primary outcome. The incidence of postpartum hemorrhage, retained placenta, manual removal of placenta, and the need for blood transfusion were compared
Results: the duration and amount of blood loss of third stage of labour was significantly lower in study group than control group. Furthermore, the Postoperative pulse rate, Systolic Blood Pressure, Diastolic Blood Pressure, Hemoglobin and hematocrit value were significantly higher in study group than control group. The retained placenta [manual removal], Postpartum hemorrhageand Blood transfusion were non-significantly less frequent among study group than among control group
Conclusion: active management of the third stage of labour with the cord drainage method significantly reduced postpartum hemorrhage and the duration of the third stage