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Aim: To assess the effects of early oral hydration after elective caesarian se ction. Methods: Hundred women were selected from the maternity wards of LHMC and SSK Hospital, and alternately as signed into control and study groups of 50 each. Women with medical complication s and antepartum haemorrhage were excluded. In the study group, oral hydration was started 6-h postextubation irrespective of presence of bowel sounds. Solid f ood was started after bowel sounds appeared. In the control group, traditional r egime of oral hydration after the appearance of bowel sounds and then a gradual shift to the solids was adopted. The return of bowel activity, time of ambulatin g and complications were compared. Results: Bowel sounds appeared in a significa ntly shorter duration of time in study group, the mean being 7.4 h as compared t o 11.5 h in the control group. Passage of flatus and bowel evacuation was earlie r in the study group (9.14 and 23.7 h, respectively) than in the control (19.9 a nd 32.3 h, respectively). Women ambulated faster in the study group than the con trol group (15 h versus 25 h, respectively). Mean oral fluid intake was much mor e and return to soft and then full diet was faster in the study group. Sixty per cent women preferred early feeding to the traditional one. Conclusion: Early ora l hydration in the postoperative period helps in the faster recovery of the pati ent by means of quicker return to normal feeding habits and early ambulation, th e two main concerns of any surgeon before discharging the woman after caesarian section.
Aim: To assess the effects of early oral hydration after elective caesarian se ction. Methods: Hundred women were selected from the maternity wards of LHMC and SSK Hospital, and alternately as signed into control and study groups of 50 each. Women with medical complication s In the study group, oral hydration was started 6-h postextubation irrespective of presence of bowel sounds. Solid f ood was started after bowel sounds appeared. In the control group, traditional r egime of oral hydration after the appearance of bowel sounds and then a gradual shift to the solids was adopted. The return of bowel activity, time of ambulatin g and complications were compared. Results: Bowel sounds had a significant shorter duration of time in study group, the mean being 7.4 h as compared to 11.5 h in the control group. Passage of flatus and bowel evacuation was earlie r in the study group (9.14 and 23.7 h, respectively) than in the control (19.9 a nd 32.3 h, respectively). Women ambulated faster in the study group than the con trol group (15 h versus 25 h, respectively). Mean oral fluid intake was much mor e and return to soft and then full diet was faster in the study group. Sixty per cent women preferred early feeding to the traditional one. Conclusion: Early ora l hydration in the postoperative period helps in the faster recovery of the pati ent by means of quicker return to normal feeding habits and early ambulation, th e two main concerns of any surgeon before discharging the woman after caesarian section.