Early oral feeding compared with delayed oral feeding after cesarean section: a meta-analysis

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
Huaping HuangMei He

Abstract

The potential benefits and safety of early oral feeding (EOF) after cesarean section have not been well evaluated. We undertook a meta-analysis to assess postoperative bowel function and complications following EOF compared with delayed oral feeding (DOF) in women who had undergone cesarean section. PubMed, EMBASE, and CENTRAL were searched to identify English language randomized clinical trials comparing EOF with DOF after cesarean section. The primary outcomes of interest were bowel motility and postoperative complications. The random-effect model was used to calculate pooled weighted mean differences (WMDs) and relative risks (RRs), with 95% confidence intervals (CIs). Eleven studies involving 1800 patients were included. The pooled results showed that EOF was significantly associated with the shorter time to return of bowel motility compared with DOF (-7.3 h for passage of flatus; -6.27 h for bowel movement; -8.75 h for bowel sounds). EOF was not related to increases in nausea (RR, 0.95; 95% CI, 0.69-1.33), abdominal distension (RR, 0.68; 95% CI, 0.43-1.07), diarrhea (RR, 0.63; 95% CI, 0.28-1.41), mild ileus symptoms (RR, 0.82; 95% CI, 0.53-1.25) and vomiting (RR, 0.91; 95% CI, 0.53-1.56). This meta-analysis provides eviden...Continue Reading

Associated Clinical Trials

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Citations

Aug 9, 2016·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·Paul BerveillerFrançois Vialard
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Sep 13, 2019·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Sajidah IlyasSohail Bampoe
May 27, 2017·Journal of Obstetrics and Gynaecology of India·Sukesh Kumar Kathpalia
Mar 31, 2021·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Ersin ÇintesunÖzlem Seçilmiş Kerimoğlu
Apr 5, 2017·Gynécologie, Obstétrique, Fertilité & Sénologie·A CattinE Raimond

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