Article citationsMore >>

Ledari F, Barat S, Delavar M, Banihosini S, Khafri S. Chewing Sugar-Free Gum Reduces Ileus After Cesarean Section in Nulliparous Women: A Randomized Clinical Trial. Iran Red Crescent Med J. 2013; 15(4): 330-334.

has been cited by the following article:

Article

The Effect of Non-Sugared Gum Chewing With Early Ambulation versus Early Ambulation Only on Recovery of Bowel Function after Elective Cesarean Section

1Obstetric and Gynecologic Nursing, Faculty of Nursing, Damanhor University, Egypt


American Journal of Nursing Research. 2019, Vol. 7 No. 6, 965-973
DOI: 10.12691/ajnr-7-6-9
Copyright © 2019 Science and Education Publishing

Cite this paper:
Wafaa Taha Ibrahim Elgzar, Violet Nicola Ghattas. The Effect of Non-Sugared Gum Chewing With Early Ambulation versus Early Ambulation Only on Recovery of Bowel Function after Elective Cesarean Section. American Journal of Nursing Research. 2019; 7(6):965-973. doi: 10.12691/ajnr-7-6-9.

Correspondence to: Wafaa  Taha Ibrahim Elgzar, Obstetric and Gynecologic Nursing, Faculty of Nursing, Damanhor University, Egypt. Email: wafaa.elgzar@nur.dmu.edu.eg

Abstract

Background: The rate of CS is surged high in Egypt at 2014. Ileus is the most common CS complication. It may become serious enough to alter women post CS accommodation; delay wound healing and increase hospital stay. Aim: to investigate the effect of non-sugared gum chewing with early ambulation versus early ambulation only on recovery of bowel function after elective cesarean section. Research design: Randomized controlled clinical trial. Setting: Damanhour educational institution affiliated to ministry of health at Elbehira governorate Egypt. Participants: A systematic random sample of 100 woman undergoing elective cesarean section. Tools: Three tools were used for data collection: Structured Interviewing Schedule, Pre and intra-operative assessment sheet, bowel functions assessment sheet. Results: The study results shows statistically significant improvement in all bowel functions among intervention group compared to control. Where, The mean time hours to the first bowel sound (3.90±0.893 compared to 5.34±0.939), onset of gas passage (6.78±0.996 compared to 7.06±1.105), feeling of hunger time (7.98±1.134 compared to 9.40±1.212), begins oral fluids (3.98±0.775 compared to 5.78±0.996), feeding time (10.16±0.817 compared to 11.92±1.712), onset of defecation (12.180±1.240 compared to 14.48±1.403) were significantly shorter in the non-sugared gum chewing with early ambulation group than early ambulation only. Furthermore, abdominal distention and nausea are significantly higher among control group than intervention. Conclusion: Non-sugared gum chewing with early ambulation significantly enhance regain of all bowel functions post CS than early ambulation only. In addition, abdominal distention and nausea were significantly higher in non-sugared gum chewing with early ambulation group than early ambulation only. Recommendations: Non-sugared gum chewing could be added to post cesarean care protocols.

Keywords