To assess the practices about initiation of Oral Maternal Feeding after Cesarean Section under Regional Anesthesia
Abstract
Objective: Cesarean Section (C-S) is one of the most commonly performed operations in the world.1 Diet and nutrition play a vital role in post operative recovery. The objective of the study was to assess the trends and practices about “Early Initiation of Oral Maternal Feeding after Cesarean Section (C-S) under Regional Anesthesia (RA)” and to analyze it in the context of evidence based medicine (EBM).
Methodology: The study was a multi center cross sectional survey conducted from August 2009-September 2010. Closed ended self administered questionnaires were filled in by 398 respondents of obstetric specialty.
Results: In response to the questionnaire 31.3% of the study participants were in favor of early initiation of maternal feeding 2-4 hours; while 84.6% preferred to delay it up to 6-12 hours; 61.6% had the perception that early start of solid diet may lead to ileus and wound dehiscence; whereas 3.4% feared burst abdomen; while only 35.1% said that it would have no effect on wound. About 57% respondents said that early maternal ambulation after an uncomplicated C-S can help in early recovery, while 43% participants thought that it may lead to hypotension, giddiness & spinal headache.
Conclusion: The responses of the participants regarding early initiation of maternal oral feeding after C-S under RA illustrate fears and old conventional trends rather than practices based on scientific evidence. Awareness programs and multi center clinical trials in the local context may change this practice and give them enough experience and confidence. The evidence shows that initiation of early oral maternal feeding (MF) results in greater maternal satisfaction, less gastro intestinal and wound complications and is also cost effective.
Methodology: The study was a multi center cross sectional survey conducted from August 2009-September 2010. Closed ended self administered questionnaires were filled in by 398 respondents of obstetric specialty.
Results: In response to the questionnaire 31.3% of the study participants were in favor of early initiation of maternal feeding 2-4 hours; while 84.6% preferred to delay it up to 6-12 hours; 61.6% had the perception that early start of solid diet may lead to ileus and wound dehiscence; whereas 3.4% feared burst abdomen; while only 35.1% said that it would have no effect on wound. About 57% respondents said that early maternal ambulation after an uncomplicated C-S can help in early recovery, while 43% participants thought that it may lead to hypotension, giddiness & spinal headache.
Conclusion: The responses of the participants regarding early initiation of maternal oral feeding after C-S under RA illustrate fears and old conventional trends rather than practices based on scientific evidence. Awareness programs and multi center clinical trials in the local context may change this practice and give them enough experience and confidence. The evidence shows that initiation of early oral maternal feeding (MF) results in greater maternal satisfaction, less gastro intestinal and wound complications and is also cost effective.
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