Does tongue rotation exercise help to restore intestinal function after cesarean section ?

UMIN ID: UMIN000055628

Registered date:26/09/2024

Basic Information

• Recruitment status: Complete: follow-up continuing
• Health condition(s) or Problem(s) studied: Pregnant woman undergoing a cesarean section
• Date of first enrollment: 2022/09/07
• Target sample size: 60
• Countries of recruitment: Japan
• Study type: Interventional

Intervention(s)

Perform the tongue rotation exercise below in the morning, at lunch time and in the evening, from 2 hours after the caesarean section to the first fart.
After the usual post-operative fasting period at our hospital, the patients will follow the diet for pregnant and nursing women (control group)

Outcome(s)

• Primary Outcome: Time until first fart after cesarean section
• Secondary Outcome: Time to first normal bowel sound after cesarean section, time to first bowel movement, length of hospital stay, incidence of nausea and vomiting, incidence of ileus, presence or absence of abdominal distension as perceived by the patient, change in salivary amylase activity before and after first tongue-twisting exercise

Key inclusion & exclusion criteria

• Age minimum: 18years-old
• Age maximum: 45years-old
• Gender: Female
• Exclude criteria: The following patients are excluded. 1 After an unplanned or emergency cesarean section 2 Cases involving surgical invasive procedures other than a normal cesarean section 3 Cases where blood products other than preoperative autologous blood were used for severe postpartum hemorrhage (>1500ml) 4 Cases where radiation therapy was performed for severe postpartum hemorrhage (>1500ml) 5 Those with a history of abdominal surgery during pregnancy 6 Those with a history of gastrointestinal disorders such as intestinal obstruction or inflammatory bowel disease, or peritonitis 7 After abdominal or pelvic radiation 8 Postoperative mechanical ventilation 9 Postoperative intensive care unit admission (excluding MFICU cases, GICU cases) 10 Patients with a history of opioid use 11 Patients who received ondansetron during cesarean section

Related Information

• Primary Sponsor: Kitasato university
• Source(s) of Monetary Support: Self funding