Chewing Aid in Routine Postoperative Orders - Does it reduce Postoperative Ileus after Cesarean Section? A Randomized Control Trial

Abstract

OBJECTIVE: To assess effectiveness of chewing gum in women undergoing cesarean section(C-Section) on return of bowel movements.METHODOLOGY: Randomized clinical trial was conducted at a tertiary care hospital, Karachi fromJanuary 2013 to January 2016. Total 218 participants, who were planned for Cesarean section, wererandomly allocated into two groups, 109 participants in each group. In Group-I, patient’s receivedchewing gum as routine and group II was control group. Data of all subjects were analyzed using SPSSversion 20.RESULTS: The mean age of participants was 22.68±6.31 years. There was no significant differencebetween both groups in terms of age, Body Mass index, duration of surgery, parity, number ofmiscarriages and type of cesarean section whether elective or emergency. Significant reduction wasfound in terms of onset of defecation (P<0.001), onset of first flatus passed (P<0.001) and feeling ofhunger (P<0.003) between two groups.CONCLUSION: The current study identified that routine use of chewing gum as postoperative orderimpacts positively on time of passing flatus, defecation, and feeling of hunger. Eventually, it will reducesuffering resulting from ileus fostering early feeding. Since it is non-expensive and easy to use methodtherefore, it can be included as a routine post-operative management for women undergoing cesareansection. However, it is recommended to investigate impact of using chewing gum in other abdominalsurgeries.