Realimentação precoce após cesariana: avaliando o retorno da função gastrintestinal

Abstract

Early refeeding proposes an improved recovery from the indication of cesarean section until maternal discharge from the hospital, the change in clinical practice is slow. In this study, we evaluated the return of gastrointestinal function with the early refeeding of parturients after elective cesarean section, proving the beneficial effects of the intervention and enabling a new practice in the perioperative care of this group of patients. The present study consists of a prospective clinical trial. The sample size was 132 patients, divided equally between the Control (fed back through release from the service) and Intervention (refed with industrialized preparation after one hour of post-anesthetic recovery). The outcomes were the presence or absence of: nausea and/or vomiting; flatus in 24 hours; evacuation in 48 hours; and a feeling of dry mouth. For data analysis, the Chi-Square test and binary logistic regression were performed. The data were expressed as a 95% confidence interval (CI) and the odds ratio (OR) and considered significant results with the p-value < 0.05. The intervention group presented significantly fewer complaints of nausea/vomiting (1.5% vs 27.3%, p <0.001), with signs of earlier return of gastrointestinal tract function due to the higher occurrence of flatus in 24hs (90.9% vs 43.9%, p<0.001), and evacuation in 48hs (53.5% vs 12.1%, p< 0.001). In addition to reporting less the sensation of dry mouth (3.0% vs 42.4%, p<0.001). Early feeding was able to prevent nausea/vomiting and dry mouth sensation, improved intestinal transit, through the presence of flatus after 24 hours of cesarean section and evacuation in the first 48 hours after the surgical procedure, regardless of chronological age, gestational age at the time of delivery and anesthetic technique. The group fed early did not present postoperative complications.