| Popis: |
Objective: Globally, Cesarean Section (C-S) is in the repeated surgical procedure [1]. Post-operative recovery is dependent on nutrition and diet. We aimed at the assessment of the practice and trend for an in-time initiation of the oral feeding of the mothers after C-S under RA (Regional Anesthesia). We also analyzed in our research the perspective of EBM (Evidence Based Medicine). Methodology: Our research was cross-sectional survey which was carried out on 398 participants through a close ended questionnaire at Mayo Hospital, Lahore (August 2016 to September 2017). Results: Early initiation was favored by (31.3%) participants in the time duration of (2 – 4) hours; whereas, (6 – 12) hours delay was reported by (84.6%); 61.6% were of the view that solid diet in early stage can be adverse and may cause wound dehiscence and ileus; burst abdomen was feared by 3.4%; whereas, no effect on wound was stated by (35.1%). Early recovery can be gained by uncomplicated C-S early maternal ambulation by (57%) respondents; whereas, spinal headache, giddiness and hypotension may be the outcome was thought by (43%). Conclusion: Old trends and fear is reflected in the response of the participants about early initiation of the maternal oral feeding post C-S under illustration of RA instead of scientific evidence and practice. Confidence and experience can be spread through awareness campaigns. Great maternal satisfaction can be secured through an early maternal oral intake including cost effective recovery process and reduced gastro intestinal complications. Key Words: Cesarean Section (C-S), Maternal Feeding, Ileus, Wound complications, Maternal Satisfaction and Regional Anesthesia (RA). |
