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Published in: BMC Pregnancy and Childbirth 1/2017

Open Access 01-12-2017 | Research article

Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis

Authors: Zunjia Wen, Meifen Shen, Chao Wu, Jianping Ding, Binbin Mei

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

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Abstract

Background

Gum chewing has been reported to enhance the intestinal function recovery after caesarean section, current perspectives and practice guidelines vary widely on the use of gum chewing, more studies on the role of gum chewing after caesarean section are needed.

Methods

We performed a comprehensive, systematic meta-analysis of randomized controlled trials (RCTs) on the efficacy of gum chewing after caesarean section. Studies were identified by searching EMBASE et al database (until June 30, 2016). Summary odd ratios or weighted mean differences with 95% confidence intervals were calculated for each outcome with fixed- or random-effects model.

Results

Ten RCTs with a total of 1659 women were included in our meta-analysis. Gum chewing provided significant benefits in reducing the time to first passage of flatus, first defecation, first bowel sound, first bowel movement and the length of hospital stay, but not in the time to first feeling of hunger.

Conclusions

Gun chewing hastens the intestinal function recovery after caesarean section and offers a safe and inexpensive option. High-quality and larger-scale RCTs are still warranted to clarify the role of gum chewing in intestinal function recovery after caesarean section.
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Metadata
Title
Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis
Authors
Zunjia Wen
Meifen Shen
Chao Wu
Jianping Ding
Binbin Mei
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-017-1286-8

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