{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T12:35:09Z","timestamp":1778070909340,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,1,8]],"date-time":"2008-01-08T00:00:00Z","timestamp":1199750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:p><jats:bold>Objective\u2002<\/jats:bold> To evaluate the effect of early versus delayed feeding after caesarean section on the woman\u2019s satisfaction.<\/jats:p><jats:p><jats:bold>Design\u2002<\/jats:bold> Randomised, controlled trial.<\/jats:p><jats:p><jats:bold>Setting\u2002<\/jats:bold> Tertiary care hospital.<\/jats:p><jats:p><jats:bold>Population\u2002<\/jats:bold> Healthy pregnant women were enrolled for the study during antenatal care visits.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Uncomplicated singleton pregnancies undergoing a planned or intrapartum caesarean section performed under regional anaesthesia were randomly assigned to either (1) a \u2018delayed feeding\u2019 group who started oral fluids 4 hours after surgery with diet introduced at 24 hours; or (2) an \u2018early feeding\u2019 group who were offered a regular diet within the first 8 hours.<\/jats:p><jats:p><jats:bold>Main outcome measures\u2002<\/jats:bold> Primary outcome was the woman\u2019s satisfaction measured with a visual analogue scale (VAS) before their hospital discharge. The secondary outcomes were: pain, anorexia, abdominal distension, persistent nausea and\/or vomiting, time to the first bowel movement and passage of flatus.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Two hundred women were recruited, with 103 randomised to delayed feeding and 97 to early feeding. The woman\u2019s satisfaction (mean VAS \u00b1 SD) was similar in both groups; 73 \u00b1 17 mm in the delayed feeding group and 77 \u00b1 13 mm in the early feeding group (<jats:italic>P<\/jats:italic>= 0.12). A statistically significant difference was observed in mean postoperative pain: 29 \u00b1 13 mm in the delayed feeding group versus 24 \u00b1 11 mm in the early feeding group (<jats:italic>P<\/jats:italic>= 0.008). No other significant differences in postoperative variables were recorded, and there were no major postoperative complications observed in either group.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Early feeding after uncomplicated caesarean in low\u2010risk women is equivalent in terms of the woman\u2019s satisfaction and the reduced perceived pain.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2007.01591.x","type":"journal-article","created":{"date-parts":[[2008,1,8]],"date-time":"2008-01-08T15:27:10Z","timestamp":1199806030000},"page":"332-338","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The effect of early versus delayed postcaesarean feeding on women\u2019s satisfaction: a randomised controlled trial"],"prefix":"10.1111","volume":"115","author":[{"given":"GH","family":"Izbizky","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Minig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MA","family":"Sebastiani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Ota\u00f1o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,1,8]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"Births: Preliminary Data for 2003. National Vital Statistics Reports","author":"Hamilton BE","year":"2004"},{"key":"e_1_2_6_3_2","unstructured":"ThomasJ ParanjothyS;Royal College of Obstetricians and Gynaecologists Clinical Effectiveness Support Unit.National Sentinel Caesarean Section Audit Report.RCOG Press.2001. [www.rcog.org.uk\/resources\/public\/pdf\/nscs_audit.pdf] Accessed 1 July 2007."},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7222.1397"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68704-7"},{"key":"e_1_2_6_6_2","first-page":"463","article-title":"Safety and efficacy of early post operative solid food consumption after caesarean section","volume":"40","author":"Burrows WR","year":"1995","journal-title":"J Reprod Med"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(96)00131-7"},{"issue":"4","key":"e_1_2_6_8_2","first-page":"95","article-title":"Early feeding after cesarean delivery","author":"Hilliard R","year":"2000","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(01)01387-4"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)00726-2"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(12)90900-X"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.1991.tb00035.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2005.03.017"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003516"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(96)00049-X"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03017414"},{"key":"e_1_2_6_17_2","first-page":"152","article-title":"A randomised controlled trial on beneficial effects of early feeding post\u2010Caesarean delivery under regional anaesthesia","volume":"48","author":"Teoh W","year":"2007","journal-title":"Singapore Med J"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-289X(98)80026-5"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"e_1_2_6_20_2","first-page":"1127","article-title":"Measurement of pain","volume":"2","author":"Huskisson EC","year":"1972","journal-title":"Lancet"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb022734"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.313.7048.36"},{"key":"e_1_2_6_23_2","first-page":"139","article-title":"Equivalence and noninferiority trials","author":"Siegel JP","year":"2000","journal-title":"Am Heart J"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/0149-7189(83)90002-2"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1997.az0083c.x"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.302.6776.564"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00145-8"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39217.671019.55"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.10.863"},{"key":"e_1_2_6_30_2","unstructured":"SandarsJ ChaudhrySH ChippingtonD DemilewJ JamesD LewisG et al.National Institute for Clinical Excellence Clinical Guideline 13: Caesarean section2004. [www.nice.org.uk\/CG013NICEguideline]. Accessed 12 August 2006."}],"updated-by":[{"DOI":"10.1111\/j.1471-0528.2008.01712_1.x","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2008,3,7]],"date-time":"2008-03-07T00:00:00Z","timestamp":1204848000000}}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1471-0528.2007.01591.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1471-0528.2007.01591.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T22:57:50Z","timestamp":1697065070000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2007.01591.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1,8]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2008,2]]}},"alternative-id":["10.1111\/j.1471-0528.2007.01591.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1471-0528.2007.01591.x","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,1,8]]},"assertion":[{"value":"2008-01-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}