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. 2016 Oct 17;2016(10):CD011562. doi: 10.1002/14651858.CD011562.pub2

Ellaithy 2015.

Trial name or title Chewing gum to stimulate intestinal motility after CS.
Methods RCT, in King Faisal Military hospital, Saudi Arabia.
Participants All women undergoing elective CS, aged 20‐35 years. Exclusion criteria: "...emergency cesarean section, multifetal pregnancy, polyhydramnios, medical disorders, abnormal placentation, past history of bowel injury or operation, any complications that will increase operative duration such as uterine artery injury or uterine extension".
Interventions 450 women will be divided into 3 groups: group A (150 women) "...will receive sugarless gum after their operating room discharge by 2 hours for at least half an hour at 2 hours interval"; group B (150 women) "...will receive traditional management of starting oral fluid after operating room discharge by 6 hours and hearing intestinal sounds on second day before initiating full regular diet"; and group C (150 women), "...as control group, they will not receive neither gum nor oral fluids".
Outcomes Primary outcomes: passage of stools.
Secondary outcomes: passage of flatus.
Starting date March 2015.
Contact information Mohamed I Ellaithy, MD.
Notes ClinicalTrials.gov Identifier: NCT02386748.