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Original Article

Influence of Gum Chewing on Postoperative Bowel Activity after Cesarean Section

Kafali H. · Duvan C.I. · Gözdemir E. · Simavli S. · Onaran Y. · Keskin E.

Author affiliations

Department of Obstetrics and Gynecology, Fatih University Medical School, Ankara, Turkey

Related Articles for ""

Gynecol Obstet Invest 2010;69:84–87

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Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: February 11, 2009
Accepted: August 10, 2009
Published online: November 21, 2009
Issue release date: March 2010

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 2

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: https://www.karger.com/GOI

Abstract

Objective: To assess the effects of gum chewing on postoperative bowel function after cesarean section. Material and Methods: Women who underwent cesarean section were randomized to either a gum-chewing group (n = 74) or a non-gum-chewing group (n = 76). The two groups were compared with respect to the return of bowel activity, postoperative analgesic and antiemetic drug requirement and postoperative hospital stay. Results: Bowel sounds appeared in a significantly shorter duration of time in the study group, the mean being 5.9 h as compared to 6.7 h in the control group (p < 0.01). The first passage of flatus postoperatively was 22.4 h in the gum-chewing group and 31 h in the control group (p < 0.001). The total length of hospital stay was shorter in the gum-chewing group (2.1 days) than in the control group (2.3 days), but it was not statistically significant (p > 0.05). Postoperative analgesic requirement in both groups was similar, but the postoperative antiemetic need in the gum-chewing group was lower than in the control group (p < 0.01). Conclusion: On the basis of the tolerability and results on bowel function, gum chewing provides a simple method for early recovery of bowel function after cesarean section.

© 2009 S. Karger AG, Basel


References

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  4. Schuster R, Grewal N, Greaney GC, Waxman K: Gum chewing reduces ileus after elective open sigmoid colectomy. Arch Surg 2006;141:174–176.
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    External Resources
  12. Asao T, Kuwano H, Nakamura J, Morinaga N, Hirayama I, Ide M: Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. J Am Coll Surg 2002;195:30–32.
  13. Hirayama I, Suzuki M, Ide M, Asao T, Kuwano H: Gum-chewing stimulates bowel motility after surgery for colorectal cancer. Hepatogastroenterology 2006;53:206–208.

Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: February 11, 2009
Accepted: August 10, 2009
Published online: November 21, 2009
Issue release date: March 2010

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 2

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: https://www.karger.com/GOI


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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