Abstract | BACKGROUND:
Gum chewing has been reported to enhance bowel motility and reduce postoperative ileus (POI). However, the efficacy remains imprecise for women following caesarean section. OBJECTIVES: SEARCH STRATEGY: We searched studies from the following electronic databases: PubMed, EMBASE, SCOPUS and Cochrane Library from inception to 30 May 2013. SELECTION CRITERIA: DATA COLLECTION AND ANALYSIS: Study outcomes were presented as mean differences (for continuous data) with 95% confidence interval (95% CI). The risk of bias in the study results was assessed using the assessment tool from the Cochrane Handbook. MAIN RESULTS: Six RCTs including 939 women were included in our meta-analysis. The pooled results demonstrated that gum chewing is superior to no gum chewing with a reduction of 6.42 hours (95% CI -7.55 to -5.29) for time to first flatus, 3.62 hours (95% CI -6.41 to -0.83) for time to first bowel sound, 6.58 hours (95% CI -10.10 to -3.07) for time to first stool and 5.94 hours (95% CI -9.39 to -2.49) for LOS. In addition, no evidence emerged for any side effects caused by gum chewing. CONCLUSIONS:
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Authors | Y-P Zhu, W-J Wang, S-L Zhang, B Dai, D-W Ye |
Journal | BJOG : an international journal of obstetrics and gynaecology
(BJOG)
Vol. 121
Issue 7
Pg. 787-92
(Jun 2014)
ISSN: 1471-0528 [Electronic] England |
PMID | 24629205
(Publication Type: Journal Article, Meta-Analysis)
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Copyright | © 2014 Royal College of Obstetricians and Gynaecologists. |
Chemical References |
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Topics |
- Cesarean Section
- Chewing Gum
- Female
- Humans
- Ileus
(prevention & control)
- Intestines
(physiology)
- Postoperative Complications
(prevention & control)
- Postoperative Period
- Pregnancy
- Randomized Controlled Trials as Topic
- Recovery of Function
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