Comparative Study between Postoperative Outcomes of Early and Late Oral Feeding after Cesarean Section

Background: Globally, the proportion of cesarean sections continues to rise. Oral feeding is typically not allowed after abdominal surgery until bowel function is back to normal. Many postoperative gastrointestinal morbidities, including nausea, vomiting, distention, and others, are thought to be lessened by this practice. The surgical risks associated with bowel manipulation and peritoneal irritation during cesarean deliveries are low compared to other laparotomy operations.Aim of the study: Evaluating and comparing the effects of early vs. late oral feeding on postoperative outcomes after cesarean sections under regional anesthesia.Patient and methods: A randomized clinical trial that included 610 women who underwent a cesarean section under regional anesthesia and randomized into Group A (received fluids and semisolids early) and Group B (oral feeding was delayed). All women were evaluated preoperatively and observed intraoperatively to ensure they met the inclusion criteria. Furthermore, they were followed up postoperatively, and postoperative outcomes were compared between both groups.Results: Results from the operation and demographic information were comparable between the two groups. Postoperative findings, including nausea, vomiting, distension, fever, ambulation, and pain score, showed no statistical differences between the two groups. Group A had the earlier presence of intestinal sounds than group B, shorter time until passing of stool or flatus, shorter hospital stay, and higher patient satisfaction score.Conclusion: Starting oral feeding early following uncomplicated cesarean sections was as safe as late oral feeding. It reduced time of restoration of intestinal sounds, bowel opening, shortened hospital stay and improved patient satisfaction.