Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 15 , ISSUE 4 ( July-August, 2023 ) > List of Articles

Original Article

To Evaluate Early Feed vs Late Feed in Post-lower-segment Cesarean Section Patients at a Tertiary Care Center: A Randomized Controlled Study

Vaishali Choudhari, Yogini Patil, Kamalapriya Thiyagarajan, Kshama Shah, Vijaykumar Gawali

Keywords : Cesarean, Early feed, Late feed, Postoperative ileus, Satisfaction

Citation Information : Choudhari V, Patil Y, Thiyagarajan K, Shah K, Gawali V. To Evaluate Early Feed vs Late Feed in Post-lower-segment Cesarean Section Patients at a Tertiary Care Center: A Randomized Controlled Study. J South Asian Feder Obs Gynae 2023; 15 (4):385-388.

DOI: 10.5005/jp-journals-10006-2265

License: CC BY-NC 4.0

Published Online: 16-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: Cesarean section is one of the routinely performed surgeries in gynecology and obstetrics. Deliveries done by cesarean section have been seen to impact the postoperative feed in women. Usually, postdelivery by cesarean section the woman is given food through intravenous (IV). The feed is not given to the mother by mouth for some amount of time which is based on the opinion of different clinicians and hospitals. There is an assumption noted that if early feeds are given then the patient might suffer from postoperative ileus. This assumption, however, has not been evidenced by the available literature. It has been noted that early feed aids in faster recovery, quicker wound healing, and early discharge from the hospital. Therefore, early feed postcesarean operation is generally emphasized. Materials and methods: This was a prospective, single-centre, randomized controlled study conducted over a period of 1 year from 2020–2021. Subjects were randomized into group I (early feed) and group II (late feed). Various parameters were assessed and compared statistically in both groups. Results: Various functions and complications of gastrointestinal indications and psychosomatic parameters related to postoperative cesarean delivery were evaluated, and it was observed that there is no statistically significant difference between the early feed and the late feed. Conclusion: Early oral intake of food is safe and well tolerated; clinical outcomes are similar to delayed feeding. It does not cause a significant increase in postoperative paralytic ileus, and the results are equally good for patient satisfaction when compared with delayed feeding.

  1. Villar J, Valladares E, Wojdyla D, et al. Caesarean delivery rates and pregnancy outcomes: The 2005 WHO global survey on maternal and perinatal health in Latin America. Lancet 2006;367(9525):1819–1829. DOI: 10.1016/S0140-6736(06)68704-7.
  2. Worthington LM, Mulcahy AJ, White S, et al. Attitudes to oral feeding following caesarean section. Anaesthesia 1999;54(3):292–296. DOI: 10.1046/j.1365-2044.1999.00740.x.
  3. Göçmen A, Göçmen M, Saraoğlu M. Early post-operative feeding after caesarean delivery. J Int Med Res 2002;30(5):506–511. DOI: 10.1177/147323000203000506.
  4. Adupa D, Wandabwa J, Kiondo P. A randomised controlled trial of early initiation of oral feeding after caesarean delivery in Mulago Hospital. East Afr Med J 2003;80(7):345–350. DOI: 10.4314/eamj.v80i7.8716.
  5. Burrows WR, Gingo AJ Jr, Rose SM, et al. Safety and efficacy of early postoperative solid food consumption after cesarean section. J Reprod Med 1995;40(6):463–467. PMID: 7650662.
  6. Kramer RL, Someren JKV, Qualls CR, et al. Postoperative management of cesarean patients: The effect of immediate feeding on the incidence of ileus. Obstet Gynecol 1996;88(1):29–32. DOI: 10.1016/0029-7844(96)00131-7.
  7. Soriano D, Dulitzki M, Keidar N, et al. Early oral feeding after cesarean delivery. Obstet Gynecol 1996;87(6):1006–1008. DOI: 10.1016/0029-7844(96)00049-x.
  8. Patolia D, Hilliard RL, Toy EC, et al. Early feeding after cesarean: Randomized trial. Obstet Gynecol 2001;98(1):113–116. DOI: 10.1016/s0029-7844(01)01387-4.
  9. Casto CJ, Krammer J, Drake J. Postoperative feeding: A clinical review. Obstet Gynecol Surv 2000;55(9):571–573. DOI: 10.1097/00006254-200009000-00022.
  10. Rabbo SA. Early oral hydration: A novel regimen for management after elective cesarean section. J Obstet Gynaecol 1995;21(6):563–567. DOI: 10.1111/j.1447-0756.1995.tb00913x.
  11. Strong TH, Brown WL, Brown WL, et al. Experience with early postcesarean hospital dismissal. Am J Obst Gynecol 1993;169(1):116–119. DOI: 10.1016/0002-9378(93)90143-7.
  12. Chantarasorn V, Tannirandorn Y. A comparative study of early postoperative feeding versus conventional feeding for patients undergoing cesarean section: A randomized controlled trial. J Med Assoc Thai 2006;89(Suppl. 4):S11–S16. PMID: 17725138.
  13. Kovavisarach E, Atthakorn M. Early versus delayed oral feeding after cesarean delivery. Int J Gynecol Obstet 2005;90(1):31–34. DOI: 10.1016/j.ijgo.2005.03.017.
  14. Mulayim B, Celik NY, Kaya S, et al. Early oral hydration after cesarean delivery performed under regional anesthesia. Int J Gynecol Obstet 2008;101(3):273–276. DOI: 10.1016/j.ijgo.2007.11.023.
  15. Orji EO, Olabode TO, Kuti O, et al. A randomised controlled trial of early initiation of oral feeding after cesarean section. J Matern Fetal Neonatal Med 2009;22(1):65–71. DOI: 10.1080/14767050802430826.
  16. Mehta S, Gupta S, Goel N. Postoperative oral feeding after cesarean section—early versus late initiation: A prospective randomized trial. J Gynecol Surg 2010;26(4):247–250. DOI: 10.1089/gyn.2009.0092.
  17. Malhotra N, Khanna S, Pasrija S, et al. Early oral hydration and its impact on bowel activity after elective caesarean section: Our experience. Eur J Obstet Gynecol Reprod Biol 2005;120(1):53–56. DOI: 10.1016/j.ejogrb.2004.08.009.
  18. Weinstein L, Dyne PL, Duerbeck NB. The PROEF diet: A new postoperative regimen for oral early feeding. Am J Obstet Gynecol 1993;168(1 Pt 1):128–131. DOI: 10.1016/s0002-9378(12)90900-x.
  19. Hsu YY, Hung HY, Chang SC, et al. Early oral intake and gastrointestinal function after cesarean delivery. Obstet Gynecol 2013;121(6):1327–1334. DOI: 10.1097/AOG.0b013e318293698c.
  20. Benhamou D, Técsy M, Parry N, et al. Audit of an early feeding program after cesarean delivery: Patient wellbeing is increased. Can J Anesth 2002;49(8):814–819. DOI: 10.1007/BF03017414.
  21. Akaba G, Ogbadua A, Agida T, et al. Early versus delayed oral feeding after uncomplicated cesarean section under spinal anesthesia: A randomized controlled trial. Niger J Surg 2018;24(1):6–11. DOI: 10.4103/njs.NJS_26_17.
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