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Completed

NCT Number: NCT01131416

The Effects of Gum Chewing on Bowel Function Recovery Following Cesarean Section

Following all abdominal surgery, paralytic ileus commonly develops. Surgeons have traditionally withheld postoperative oral intake until the return of bowel function to prevent related complications. Gum chewing can stimulates bowel movement and promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion.

The objectives of this study are to examine effects of adding gum chewing to the conventional postoperative feeding regimen on the return of bowel function, its related complications, and patients' satisfaction.

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Key information

Conditions

Paralytic Ileus Digestive System Diseases Gastrointestinal Diseases Ileus Intestinal Diseases Intestinal Obstruction Intestinal Pseudo-Obstruction

Age range

15 year–50 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

Faculty of Medicine, Chiang Mai University

Chiang Mai, 50200, Thailand

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Pregnant women undergoing cesarean delivery

Exclusion criteria

  • Perioperative hyperalimentation
  • Recent chemotherapy
  • Concurrent bowel surgery
  • Previous bowel surgery
  • Concurrent bowel obstruction
  • History of inflammatory bowel diseases
  • Previous abdominal/pelvic radiation
  • Postoperative placement of endotracheal tube/nasogastric tube
  • Postoperative admission to intensive care unit

Treatment and study plan

gum chewing

Behavioral

Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule

Primary outcomes

  1. Postoperative interval until the first flatus

    Time frame: Up to 7 days after delivery

Secondary outcomes

  1. Postoperative interval until the first passage of stool

    Time frame: Up to 7 days after delivery

  2. Clinically significant postoperative ileus

    Time frame: Up to 7 days after delivery

  3. Postoperative hospital stay

    Time frame: Up to 7 days after delivery

  4. Related complications

    Time frame: Up to 7 days after delivery

  5. Patients' satisfaction

    Time frame: Up to 7 days after delivery

Sponsors and collaborators

Lead sponsor

Chiang Mai University

Other

Registry information

Official study title

The Effects of Gum Chewing on Bowel Function Recovery Following Cesarean Section: Randomized Controlled Trial

Acronym: GUM01

Important dates

Study start
2010
Primary completion
2011
Study completion
2011
First posted
May 27, 2010
Registry last updated
Jun 28, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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