ClinicalTrials.gg
CompletedNCT03349151Updated Aug 13, 2019

Postoperative Results of Early Versus On-demand Maternal Feeding After Cesarean Delivery

An interventional study of Early feeding and On- Demand feeding in Cesarean Delivery, Feeding Patterns and Patient Satisfaction, sponsored by Acibadem University. Completed at 1 site in Turkey. Open to female participants, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-08-13.

Sponsored by Acibadem University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
262
Allocation
Randomized
Sex
Female
01

Study summary

To compare early versus on demand maternal feeding after cesarean delivery regarding gastrointestinal complaints and patient's satisfaction.

Read the detailed description

Two hundred uncomplicated singleton term pregnancies who had caesarean section under regional anaesthesia will be included in our trial. Patients will be randomized to a soft food diet (honey, skimmed cheese, soup, mashed potatoe, pudding, grissini) served on postoperative 2nd hour or whenever they wanted to eat on return to the ward. Thirty minutes after they eat their meal, nausea, vomiting, ileus and distention will be questioned. Participants will be provided with the visual analogue scale (VAS), which will be presented with a statement explaining what was intended to measure. Patient satisfaction before discharge from hospital will be recorded by the patient by using a 100-mm VAS (0= minimum satisfaction, 100= maximum satisfaction). Time to first flatus passage and defecation will be recorded after the caesarean section.

02

Conditions studied

  • Cesarean Delivery
  • Feeding Patterns
  • Patient Satisfaction
  • Postoperative Nausea and Vomiting

Keywords

  • Postoperative maternal feeding, cesarean section
03

In context

Feeding Behavior

985 studies on the registry are indexed under Feeding Behavior; 178 are open to participants now.

This study's enrollment of 262 is above the median of 77 across 700 interventional studies indexed under Feeding Behavior.

Browse Feeding Behavior studies →

Lead sponsor

Acibadem University is the lead sponsor of 220 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Uncomplicated singleton term pregnancy
  • Planned or intrapartum uncomplicated cesarean section
  • Cesarean section under regional anesthesia

Exclusion criteria

Exclusion Criteria:

  • General anesthesia
  • History of bowel surgery
  • Prenatal diagnosis of fetal anomaly
  • Maternal disease
  • Intraoperative or immediate postoperative major complications
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
262 participants (actual)

Study arms

  • Active comparator
    Early feeding

    This group will be served soft meal diet served on postoperative 2nd hour on return to the ward.

    Behavioral: Early feeding

  • Placebo comparator
    On- demand feeding

    This group will be served soft meal diet served whenever they wanted to eat on return to the ward.

    Behavioral: On- Demand feeding

Interventions

  • BehavioralEarly feeding

    Feeding on postoperative 2nd hour on return to the ward

  • BehavioralOn- Demand feeding

    Feeding whenever the patient asks for on return to the ward

06

What researchers measure

Primary outcomes

  1. Patient satisfaction

    The primary outcome is patient satisfaction before discharge from hospital, measured using a scale called visual analogue scale (VAS). It is a 100-mm long scale with adjectival descriptions at both end positions. There will be a statement explaining what was intended to measure. Participants will be asked to mark the VAS on the second they of the surgery before they are discharged from the hospital. On this scale 0= lack of satisfaction from the timing of having their meal after the surgery 100= full satisfaction from the timing of their meal after the surgery.

    Time frame: On postoperative day 2 before they are discharged from the hospital.

Secondary outcomes

  1. Postoperative passage of flatus and defecation

    The participants will be asked to inform the nurse when they have their first passage of flatus and defecation.

    Time frame: Postoperative day 0 to day 2.

  2. Postoperative gastrointestinal complaints

    Thirty minutes after the surgery the nurse will question the patients if they have a complaint of nausea, vomiting or abdominal distention.

    Time frame: Thirty minutes after the surgery

  3. Postoperative pain medication

    After the surgery the need for pain medication will be followed. The name of the medicine, the time when the pain killer was used, the dosage of the medicine will be recorded.

    Time frame: Postoperative from day 0 to day 2

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Study locations

1 site
  • Acibadem Maslak Hospital
    Istanbul, Sariyer 34457, Turkey
08

References and documents

Publications

  • Bisgaard T, Kehlet H. Early oral feeding after elective abdominal surgery--what are the issues? Nutrition. 2002 Nov-Dec;18(11-12):944-8. doi: 10.1016/s0899-9007(02)00990-5. PubMed 12431715 ↗
  • Mangesi L, Hofmeyr GJ. Early compared with delayed oral fluids and food after caesarean section. Cochrane Database Syst Rev. 2002;2002(3):CD003516. doi: 10.1002/14651858.CD003516. PubMed 12137699 ↗
  • Masood SN, Masood Y, Naim U, Masood MF. A randomized comparative trial of early initiation of oral maternal feeding versus conventional oral feeding after cesarean delivery. Int J Gynaecol Obstet. 2014 Aug;126(2):115-9. doi: 10.1016/j.ijgo.2014.02.023. Epub 2014 Apr 29. PubMed 24856433 ↗
  • Wrench IJ, Allison A, Galimberti A, Radley S, Wilson MJ. Introduction of enhanced recovery for elective caesarean section enabling next day discharge: a tertiary centre experience. Int J Obstet Anesth. 2015 May;24(2):124-30. doi: 10.1016/j.ijoa.2015.01.003. Epub 2015 Jan 14. PubMed 25794417 ↗
  • Kramer RL, Van Someren JK, Qualls CR, Curet LB. Postoperative management of cesarean patients: the effect of immediate feeding on the incidence of ileus. Obstet Gynecol. 1996 Jul;88(1):29-32. doi: 10.1016/0029-7844(96)00131-7. PubMed 8684757 ↗

Individual participant data

Plan to share: No — Study protocol, statistical analysis plan might be shared when the study is completed.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Mar 2018, 3 months.

Of 503 non-industry interventional studies with no phase under Feeding Behavior, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 31. This study's 3 months is below that.

Counting every sponsor, half of 515 studies reached it within 14 months; a quarter within 5 and three quarters within 31.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 14, 2017
First posted
Nov 21, 2017
StartActual
Nov 19, 2017
Primary completionActual
Mar 10, 2018
CompletionActual
Mar 10, 2018
Last update
Aug 13, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03349151
Responsible party
Esra Ozbasli (Instructor, Acibadem University) — Principal investigator
First posted
Nov 21, 2017
Start date
Nov 19, 2017
Primary completion
Mar 10, 2018
Completion
Mar 10, 2018
Last update
Aug 13, 2019

Study contacts

Mete Gungor, MD, Prof.
study director · Acibadem MAA University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

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