The Effect of Preoperative Oral Carbohydrate on Breastfeeding After Cesarean Section: A Double-Blind, Randomized Controlled Clinical Trial

Fard, R.K. and Tabassi, Z. and Qorbani, M. and Hosseini, S. (2018) The Effect of Preoperative Oral Carbohydrate on Breastfeeding After Cesarean Section: A Double-Blind, Randomized Controlled Clinical Trial. Journal of Dietary Supplements, 15 (4). pp. 445-451.

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Abstract

Delay in the initiation of breastfeeding is one of the problems of cesarean section. Its causes are insulin resistance, pain, anxiety, stress, thirst, hunger, and so on. Preoperative oral carbohydrate (OCH) reduces postoperative insulin resistance and improves postoperative recovery. The present study was conducted to evaluate the effect of preoperative oral carbohydrate on breastfeeding after cesarean section. In this double-blind randomized clinical trial, 91 pregnant women who underwent elective cesarean section were randomly assigned to preoperative OCH (Nutricia Preop; n = 45) or control group (water flavored with lemon; n = 46). The patients ingested 800 ml + 400 ml of liquid before the surgery. The time to first breastfeeding after surgery (min), the duration of breastfeeding (min), and breastfeeding frequency were measured using a questionnaire for up to 36 h after the surgery. Time to first breastfeeding after surgery was significantly shorter in the OCH group than in the control group (27.47 ± 11.51 vs. 51.96 ± 20.20 min, p<.001). The mean frequency of breastfeeding (6.14 ± 0.55 vs. 4.82 ± 0.46, p <.001) was significantly higher and the mean duration of breastfeeding (116.48 ± 19.68 vs. 82.13 ± 12.40 min, p <.001) was significantly longer in the OCH group compared with the control group in the first 36 h after the surgery. Preoperative oral carbohydrate improves breastfeeding after surgery (time to first breastfeeding, breastfeeding frequency, and breastfeeding duration). Further clinical trials and precise measurement tools are needed to assess breastfeeding to confirm these effects. The study was registered at http://www.IRCT.ir (IRCT2016072629082N1). © 2018, © 2018 Taylor & Francis Group, LLC.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: carbohydrate; placebo, adult; breast feeding; cesarean section; controlled study; double blind procedure; female; gestational age; human; insulin resistance; Iran; pregnancy; preoperative care; procedures; randomized controlled trial; time factor, Adult; Breast Feeding; Carbohydrates; Cesarean Section; Double-Blind Method; Female; Gestational Age; Humans; Insulin Resistance; Iran; Placebos; Pregnancy; Preoperative Care; Time Factors
Subjects: Nutrition
Divisions: Faculty of Medicine > Basic Sciences > Department of Nutrition
Depositing User: ART . editor
Date Deposited: 17 Apr 2019 09:00
Last Modified: 17 Apr 2019 09:00
URI: http://eprints.kaums.ac.ir/id/eprint/3882

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