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

Helmy Mohammed Elsherif, Soad; Ahmed Hassan Omran, Amel; Abdallah ElSayed Afifi, Hend; Ouda Abed Elmenam, Somaya

doi:10.21608/jnsbu.2023.279978

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

Document Type : Scientific peer reviewed journal

Authors

¹ B.Sc. of Nursing 2004, Faculty of Nursing- Elmenofya University, Egypt

² Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing - Benha University, Egypt

³ Assistant Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing - Benha University, Egypt

10.21608/jnsbu.2023.279978

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.

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