Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial

Purpose: To evaluate the effects of gum chewing on recovery of bowel function after cesarean section. Methods: Fifty pregnant women who underwent cesarean section at Chiang Mai University hospital from September 2010 to December 2010 were recruited. After cesarean section, patients were randomized i...

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Main Authors: Jakkaew B., Charoenkwan K.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-84880787772&partnerID=40&md5=7ac6973e304f5f759d10c6ab033faf18
http://cmuir.cmu.ac.th/handle/6653943832/4026
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-40262014-08-30T02:35:35Z Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial Jakkaew B. Charoenkwan K. Purpose: To evaluate the effects of gum chewing on recovery of bowel function after cesarean section. Methods: Fifty pregnant women who underwent cesarean section at Chiang Mai University hospital from September 2010 to December 2010 were recruited. After cesarean section, patients were randomized into two groups. In group 1 (conventional), patients were fed according to conventional feeding protocol without gum chewing. For group 2 (gum chewing), patients were asked to chew two pieces of sugarless gum for 30 min in the morning, noon, evening and bedtime until the first flatus, along with conventional postoperative feeding protocol. Categorical variables were analyzed using the Chi-square or Fischer's exact test, as appropriate. For continuous variables with skewed distribution, the Mann-Whitney U test was employed. Results: There were 25 patients in each group. Median time to the first flatus was shorter in the gum chewing group (36.37 vs. 41.33 h, P = 0.02). Also, there was a trend toward less abdominal cramping on days 1 and 2 in the gum chewing group. However, no difference in other outcome measures of bowel function recovery and ileus-related complications between the groups could be demonstrated. Approximately three-fourth of the women in each group had good tolerance to their first meal. Hospital stay and participants' satisfaction to the assigned feeding schedules were comparable between the study groups. Conclusion: Gum chewing is associated with faster recovery of bowel function following cesarean section. It is safe, practical, inexpensive, and well tolerated. © 2013 Springer-Verlag Berlin Heidelberg. 2014-08-30T02:35:35Z 2014-08-30T02:35:35Z 2013 Article 09320067 10.1007/s00404-013-2727-x 23417198 AGOBE http://www.scopus.com/inward/record.url?eid=2-s2.0-84880787772&partnerID=40&md5=7ac6973e304f5f759d10c6ab033faf18 http://cmuir.cmu.ac.th/handle/6653943832/4026 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Purpose: To evaluate the effects of gum chewing on recovery of bowel function after cesarean section. Methods: Fifty pregnant women who underwent cesarean section at Chiang Mai University hospital from September 2010 to December 2010 were recruited. After cesarean section, patients were randomized into two groups. In group 1 (conventional), patients were fed according to conventional feeding protocol without gum chewing. For group 2 (gum chewing), patients were asked to chew two pieces of sugarless gum for 30 min in the morning, noon, evening and bedtime until the first flatus, along with conventional postoperative feeding protocol. Categorical variables were analyzed using the Chi-square or Fischer's exact test, as appropriate. For continuous variables with skewed distribution, the Mann-Whitney U test was employed. Results: There were 25 patients in each group. Median time to the first flatus was shorter in the gum chewing group (36.37 vs. 41.33 h, P = 0.02). Also, there was a trend toward less abdominal cramping on days 1 and 2 in the gum chewing group. However, no difference in other outcome measures of bowel function recovery and ileus-related complications between the groups could be demonstrated. Approximately three-fourth of the women in each group had good tolerance to their first meal. Hospital stay and participants' satisfaction to the assigned feeding schedules were comparable between the study groups. Conclusion: Gum chewing is associated with faster recovery of bowel function following cesarean section. It is safe, practical, inexpensive, and well tolerated. © 2013 Springer-Verlag Berlin Heidelberg.
format Article
author Jakkaew B.
Charoenkwan K.
spellingShingle Jakkaew B.
Charoenkwan K.
Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial
author_facet Jakkaew B.
Charoenkwan K.
author_sort Jakkaew B.
title Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial
title_short Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial
title_full Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial
title_fullStr Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial
title_full_unstemmed Effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial
title_sort effects of gum chewing on recovery of bowel function following cesarean section: a randomized controlled trial
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-84880787772&partnerID=40&md5=7ac6973e304f5f759d10c6ab033faf18
http://cmuir.cmu.ac.th/handle/6653943832/4026
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