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No Need to Delay Eating After Cesarean Section.
ST. JOHN'S, NFLD. -- The only thing that should stop a postop C-section patient from eating pizza with extra cheese and pepperoni after delivery is her own will.
Contrary to popular wisdom, there's really no reason why patients who have had a C-section should delay eating after the surgery, Dr. Dan Farine said at the annual meeting of the Society of Obstetricians and Gynecologists of Canada.
In a prospective study involving 150 women who underwent cesarean section for term neonates, Dr. Farine and associates at Mount Sinai Hospital, Toronto, compared outcomes for women who ate nothing by mouth (NPO) until bowel sounds returned with outcomes for women who determined when and what they wanted to eat soon after delivery.
All the cesarean sections were performed under regional anesthesia and the groups were similar in terms of gravidity parity indications for C-section, gestational age, and C-section history.
Dr. Farine found that the onset of bowel sounds and bowel functioning was not affected by diet. There were no significant differences between the groups in terms of the time to flatus (25 hours vs. 23 hours) or to defecation (55 hours each group). Nor were there differences in the duration of hospital stays or the rates of postpartum complications such as maternal fever, endometritis, wound infection, delayed healing, pain, or analgesic use.
On average, women in the NPO group waited 33 hours before eating solid food, compared with 13 hours for women in the unrestricted diet group.
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Source: HighBeam Research, No Need to Delay Eating After Cesarean Section.