{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T13:52:40Z","timestamp":1772718760614,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T00:00:00Z","timestamp":1458604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>The purpose of this study was to determine the effects of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge on women who have given birth at the Cengiz G\u00f6k\u00e7ek Gynecology and Obstetrics Hospital surgery services in Gaziantep city centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Caesarean operation is the most significant surgical intervention that affects central nervous system and decelerates bowel movements in the postoperative period. Conducted studies show that practices such as gum chewing ensure that bowel functions start in a short time through early feeding and mobilisation and shorten the duration of hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A randomised controlled experimental was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 120 women participated in the study in three groups of 40 for gum, exercise and control groups. Gum was given to the groups in the gum section two hours after the ceasarean, the women chewed gum for the first eight hours until flatulence for 15\u00a0minutes every two hours. However, the women in the exercise group started moving two hours after the caesarean for the first eight hours until flatulence for five minutes every two hours. The control group consisted of women under routine treatment and care of the hospital. All women were hourly evaluated in terms of abdominal sounds, flatulence and defaecation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>It was determined that following caesarean, bowel functions started in three groups at the same time, there was no significant difference between three groups. It was determined that the gum group, exercise group and the control group were discharged earlier, there was no significant difference between three groups<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study results show that spinal anaesthesia have positive effects on discharge time after caesarean section operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This study provides useful information to clinician and researchers when determining practices such as postoperative standing up in early period, gum chewing and early liquid intake related to postoperative bowel functions after abdominal operations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13245","type":"journal-article","created":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T12:14:56Z","timestamp":1458648896000},"page":"1416-1425","source":"Crossref","is-referenced-by-count":6,"title":["Effect of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge in the early period after caesarean section"],"prefix":"10.1111","volume":"25","author":[{"given":"Semra Akk\u00f6z","family":"\u00c7evik","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetric Gaziantep University of Faculty of Health Sciences Gaziantep Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00fcr\u00fcvvet","family":"Ba\u015fer","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetric Erciyes University of Faculty of Health Sciences Kayseri Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02225.x"},{"key":"e_1_2_8_3_1","first-page":"79","article-title":"The effect of early post cesarean feeding on women's satisfaction","volume":"4","author":"Adeli M","year":"2010","journal-title":"Journal of Family and Reproductive Health"},{"key":"e_1_2_8_4_1","first-page":"357","volume-title":"Surgical Nursing I","author":"Akyolcu N","year":"2012"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(02)01179-1"},{"key":"e_1_2_8_6_1","first-page":"120","volume-title":"Nursing Diagnosis Manual Book","author":"Carpento LJ","year":"1997"},{"key":"e_1_2_8_7_1","first-page":"11","article-title":"Comparative study of early postoperative feeding versus conventional feeding for patients undergoing cesarean section; a randomized controlled trial","volume":"89","author":"Chantarasorn V","year":"2006","journal-title":"Journal of the Medical Association of Thailand"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2005.03.009"},{"key":"e_1_2_8_9_1","unstructured":"\u00c7inarV(2005)Evaluation of the Effects of Early Ambulation on Functions of Intestine in Patients Who had been Operated on Abdomen. 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