DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20222318
Published: 2022-08-29

Gum chewing stimulates early return of peristalsis after caesarean section

Shivani T. Siddhpura, Pallavi G. Ninama, Latika R. Mehta

Abstract


Background: The aim was to evaluate the efficacy and safety of postoperative gum chewing on the recovery of peristalsis after caesarean section. Study design was a randomized controlled study. Settings were at GMERS medical college and hospital, Sola, Ahmedabad. Population was total of 200 pregnant women who underwent caesarean section under spinal anaesthesia.

Methods: Women were randomized into two groups. Group A who received 1 chewing gum for 15 minutes every 2 hours post-surgery. Group B had traditional management (oral intake of clear fluids after 12 hours).

Results: The study group showed shorter mean interval time for return of bowel sounds, passage of flatus, passage of bowel motion and shorter hospital stay as compared to the control group.

Conclusions: Chewing gum is safe post-CS, well tolerated and associated with rapid return of intestinal motility and shorter hospital stay. 


Keywords


Caesarean section, Early oral feeding, Gum chewing, Ileus, Post-operative

Full Text:

PDF

References


Laskin MD, Tessler K, Kives S. Cecal perforation due to paralytic ileus following primary caesarean section. J Obstet Gynaecol Can. 2009;31(2):167-71.

Kalff JC, Wehner S, Litkouhi B. Postoperative ileus. In: UpToDate, Post TW (Ed), UpToDate, Waltkam, MA. 2015.

Miedema BW, Johnson JO. Methods for decreasing postoperative gut dysmotility. Lancet Oncol. 2003;4(6):365-372.

Saha AK, Newman E, Giles M, Horgan K. Ogilvie's syndrome with caecal perforation after Caesarean section: a case report. J Med Case Rep. 2009;3:177.

Kehlet H, Holte K. Review of postoperative ileus. Am J Surg. 2001;182(1):3S-10.

Behm B, Stollman N. Postoperative ileus; etiologies and interventions. Clin Gastroenterol Hepatol. 2003;1:71-80.

Asao T, Kuwano H, Nakamura J-I, Morinaga N, Hirayama I, Ide M. Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. J Am Coll Surg. 2002;195:30-2.

Hirayama I, Suzuki M, Ide M, Asao T, Kuwano H. Gum-chewing stimulates bowel motility after surgery for colorectal cancer. Hepatogastroenterology. 2006;53:206-8.

Jepsen JM, Skoubo-Kristensen E, Elsborg L. Rectosigmoid motility response to sham feeding in irritable bowel syndrome. Evidence of a cephalic phase. Scand J Gastroenterol. 1989;24:53-6.

Stern RM, Crawford HE, Stewart WR, Vasey MW, Koch KL. Sham feeding. Cephalic-vagal influences on gastric myoelectric activity. Dig Dis Sci. 1989;34:521-7.

Soffer EE, Adrian TE. Effect of meal composition and sham feeding on duodenojejunal motility in humans. Dig Dis Sci. 1992;37:1009-14.

Quah HM, Samad A, Neathey AJ, Hay DJ, Maw A. Does gum chewing reduce postoperative ileus following open colectomy for leftsided colon and rectal cancer? A prospective randomized controlled trial. Colorectal Dis. 2006;8:64-70.

Matros E, Rocha F, Zinner M, Wang J, Ashley S, Breen E et al. Does gum chewing ameliorate postoperative ileus? Results of a prospective, randomized, placebo-controlled trial. J Am Coll Surg. 2006;202:773-8.

Satij B, Cohen SA. Evaluation of gum chewing on the return of bowel function in cesarean-delivery patients. Obstet Gynecol. 2006;4:10s.

Weinstein L, Dyne PL, Duerbeck NB. The PROEF diet: a new postoperative regimen for oral early feeding. Am J Obstet Gynecol. 1993;168:28-131.

Adupa D, Wandabwa J, Kiondo P. A randomised controlled trial of early initiation of oral feeding after caesarean delivery in Mulago Hospital. East Afr Med J. 2003;80:345-50.

Kovavisarach E, Atthakorn M. Early versus delayed oral feeding after cesarean delivery. Int J Gynecol Obstet. 2005;90:31-4.

Charoenkwan K, Palapinyo C. Early solid food after cesarean section and postoperative ileus. Int J Gynecol Obstet. 2005;90:144-5.

Soriano D, Dulitzki M, Kridar N, Barkai G, Mashiach S, Seidman DS. Early oral feeding after cesarean delivery. Obstet Gynecol. 1996;87:1006-8.

Patolia Dolar S, Hilljard RL, Tby EC, Baker B. Early feeding after cesarean: a randomized trial. Obstet Gynecol. 2001;97:113-6.

Chan de Castro SM, van den Esschert JW, van Heek NT, Dalhuisen S, Koelemay MJ, Busch OR, et al. A systematic review of the efficacy of gum chewing for the amelioration of postoperative ileus. Dig Surg. 2008;25:39-45.

Purkayastha S, Tilney HS, Darzi AW, Tekkis PP. Meta-analysis of randomized studies evaluating chewing gum to enhance postoperative recovery following colectomy. Arch Surg. 2008;143:788-93.