Chewing gum improves postoperative recovery of gastrointestinal function after cesarean delivery: a systematic review and meta-analysis of randomized trials

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Andrea CiardulliVincenzo Berghella

Abstract

To examine whether chewing gum hastens the return of gastrointestinal function after a cesarean delivery. All randomized controlled trials comparing the use of chewing gum in the immediate postoperative recovery period (i.e. intervention group) with a control group were included in the meta-analysis. The primary outcome was the time to first flatus in hours. Meta-analysis was performed using the random effects model of DerSimonian and Laird, to produce summary treatment effects in terms of mean difference (MD) or relative risk (RR) with 95% confidence interval (CI). Seventeen trials, including 3041 women, were analyzed. Trials were of moderate to low quality with different inclusion criteria. In most of the included trials chewing gum was given right after delivery, three times a day for 30 min each and until the first flatus. Women who were randomized to the chewing gum group had a significantly lower mean time to first flatus (MD - 6.49 h, 95%CI -8.65 to -4.33), to first bowel sounds (MD - 8.48 h, 95%CI -9.04 to -7.92), less duration of stay (MD - 0.39 days, 95%CI -0.78 to -0.18), lower time to first feces (MD - 9.57 h, 95% CI -10.28 to 8.87) and to the first feeling of hunger (MD - 2.89 h, 95%CI -4.93 to -0.85), less number ...Continue Reading

References

Jun 16, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·K H I Abd-El-MaeboudM F Fikry
Jul 28, 2009·Journal of Clinical Epidemiology·David MoherUNKNOWN PRISMA Group
Nov 27, 2009·Gynecologic and Obstetric Investigation·Hasan KafaliEsra Keskin
Mar 15, 2012·The Surgical Clinics of North America·Michael G Doorly, Anthony J Senagore
Dec 4, 2012·Bosnian Journal of Basic Medical Sciences·Farideh Mohsenzadeh LedariMouloud Agajani Delavar
Feb 5, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ryash VatherIan Bissett
Feb 19, 2013·Archives of Gynecology and Obstetrics·Bordin Jakkaew, Kittipat Charoenkwan
Oct 2, 2013·Iranian Red Crescent Medical Journal·Farideh Mohsenzadeh LedariSoriya Khafri
Dec 3, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jin GuoTeng He
Oct 4, 2015·American Journal of Obstetrics and Gynecology·Ashley Snyder
Jan 27, 2016·Journal of Perinatal Medicine·Amos Grunebaum, Frank A Chervenak
Apr 23, 2016·Anesthesia and Analgesia·Chawla LaToya Mason, Michelle Simon

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Citations

Jun 16, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Rupsa C BoeligVincenzo Berghella
Nov 1, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·B J G Illingworth, J M N Duffy
Jan 5, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nefise Nazlı YenigulIsıl Ayhan
Jan 8, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Vincenzo BerghellaClaudia Caissutti
Dec 26, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Netanella HeinemannDrorith Hochner-Celnikier
Jan 31, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Carmen Imma AquinoVincenzo Berghella
Jul 6, 2019·MCN. the American Journal of Maternal Child Nursing·Adriane BurgessRoni Dermo
Apr 14, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R TownsendA Khalil
Sep 21, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ahmed AltraigeyMufareh Asiri
Nov 20, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Marta CampanileVincenzo Berghella
May 17, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Daniele Di MascioViolante Di Donato

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