Effect of Gum Chewing on Gastrointestinal Problems among Primipara Women Immediately after Cesarean Section

Abstract

Background: Cesarean section is most common surgical procedure affect the autonomic nervous system which lead to gastrointestinal problems. Aim of study: Was to evaluate effect of gum chewing on gastrointestinal problems among primipara women immediately after cesarean section. Design: A quasi-experimental design was utilized. Setting: Postpartum unit of Obstetrics and Gynecological department at Benha University Hospital. Sampling: A Purposive sample of 204 primiparous women were included in the study and divided into control and study groups. Tools of data collection: Three tools were used: A structured interviewing questionnaire, postoperative intestinal function parameters evaluation form and numerical rating scale. Results: Mean time of postoperative intestinal function parameters and hospital stay were significantly shorter in the study group than in control group (P ≤ 0.001). Additionally, after 4, 6, and 8 hours post cesarean section, mean of severity of post-cesarean section gastrointestinal problems were significantly decrease in the study group than in the control group (P ≤ 0.001). Conclusion: Chewing sugar free gum immediately after cesarean section had a positive effect on the intestinal function parameters in terms of time related to the first intestinal sound, first passage of flatus, feeling comfort, and early initiation of breastfeeding. As well as short duration of hospital stay. Also, a significant reduction in severity of post-cesarean section gastrointestinal problems (nausea, vomiting, abdominal pain, and abdominal distention) in the study group compared to control group. Recommendation: Chewing gum should be recommended as non-pharmacological routine of care in maternity hospital for relieving gastrointestinal problems immediately after cesarean section.