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BMC Pregnancy Childbirth. 2017 Apr 18;17(1):105. doi: 10.1186/s12884-017-1286-8.

Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis.

Wen Z1,2, Shen M3,4, Wu C1, Ding J2, Mei B2.

Author information

1
The First Affiliated Hospital of Soochow University, No. 188 Shizi Street, Gusu district, Su Zhou, Jiangsu province, China.
2
Nursing School of Soochow University, Su Zhou, China.
3
The First Affiliated Hospital of Soochow University, No. 188 Shizi Street, Gusu district, Su Zhou, Jiangsu province, China. smf8165@126.com.
4
Nursing School of Soochow University, Su Zhou, China. smf8165@126.com.

Abstract

BACKGROUND:

Gum chewing has been reported to enhance the intestinal function recovery after caesarean section, current perspectives and practice guidelines vary widely on the use of gum chewing, more studies on the role of gum chewing after caesarean section are needed.

METHODS:

We performed a comprehensive, systematic meta-analysis of randomized controlled trials (RCTs) on the efficacy of gum chewing after caesarean section. Studies were identified by searching EMBASE et al database (until June 30, 2016). Summary odd ratios or weighted mean differences with 95% confidence intervals were calculated for each outcome with fixed- or random-effects model.

RESULTS:

Ten RCTs with a total of 1659 women were included in our meta-analysis. Gum chewing provided significant benefits in reducing the time to first passage of flatus, first defecation, first bowel sound, first bowel movement and the length of hospital stay, but not in the time to first feeling of hunger.

CONCLUSIONS:

Gun chewing hastens the intestinal function recovery after caesarean section and offers a safe and inexpensive option. High-quality and larger-scale RCTs are still warranted to clarify the role of gum chewing in intestinal function recovery after caesarean section.

KEYWORDS:

Caesarean; Gum; Intestinal function; Meta-Analysis; Recovery; Review

PMID:
28415967
PMCID:
PMC5394625
DOI:
10.1186/s12884-017-1286-8
[Indexed for MEDLINE]
Free PMC Article

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