Effect of Coffee Consumption on Intestinal Motility


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Primary Outcome Measures:
Secondary Outcome Measures:

  • Passage of flatus. . The amount of analgesia. The first Breastfeeding time. The initiation of Mobilization. Hospital length stay. [ Time Frame: 72 hours ]

    (time to be recorded by the 24-hour clock from finishing of surgery).

  • Audible intestinal sound time. [ Time Frame: 72 hours ]

    Audible first intestinal sound time.(time to be recorded by the 24-hour clock from finishing of surgery).

  • Feeding time [ Time Frame: 72 hours ]

    Feeding time (StARTING OF REGULAR DIET ).(time to be recorded by the 24-hour clock from finishing of surgery).

  • Pain scale by VAS (Visual Analogue Scale ). [ Time Frame: 72 hours ]

    Pain scale by using Visual Analogue Scale(VAS). it is measuring the distance (mm) on the 10-cm line between the “no pain” anchor and the patient’s mark, providing a range of scores from 0-100.

    No pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm), and severe pain (75- 100 mm).

  • Type of analgesia needed. [ Time Frame: 72 hours ]

    Type of analgesia needed. (paracetamol, nonsteroidal anti-inflammatory drugs or pethidine ).

  • The amount of analgesia . [ Time Frame: 72 hours ]

    ( recording of dose and frequency in time are mandatory ).

  • The first Breastfeeding time. [ Time Frame: 72 hours ]

    (time to be recorded by 24-hour clock from finishing of surgery)

  • The initiation of Mobilization. [ Time Frame: 72 hours ]

    (time to be recorded by 24-hour clock from finishing of surgery)

  • Hospital length stay. [ Time Frame: 72 hours ]

    ( in Days )

Randomized controlled trial. Participants who fulfill the inclusion criteria (elective caesarian section, singleton pregnancy, term, viable fetus), and exclusion criteria (medical disorders, known intestinal diseases, past history of intestinal surgery, intraoperative diagnosis of extensive adhesion, intraoperative complications “e.g., intestinal injury and ureteric injury intraoperative complication that can lengthen the operation time, postoperative complications like anesthesia complication and electrolytes imbalance ) Then they will be randomized to 3 groups. Group 1, will start to drink coffee 6 hours postoperative for maximum 3 doses (100ml), 8 hours apart, diet will start after 1st audible bowel sound.

Group 2, will drink water 6 hours postoperative. Diet will start after 1st audible bowel sound.

Group 3 is the control group and they will be (NOTHING PER ORAL) for 24 hours on intravenous fluid (3 LITRES/24 HOURS). Diet will start after 1st audible bowel sound.

Primary outcome: passage of stool. Secondary outcome: passage of flatus, audible intestinal sound time, feeding time, pain scale by Visual Analogue Scale (VAS), amount, and type of analgesia needed, breastfeeding time, mobilization and hospital stay.