择期剖宫产术后早期饮水对产妇满意度和 胃排空的影响.

Objective To explore the effects of early water intake after elective cesarean delivery on maternal satisfaction and gastric emptying. Methods A total of 90 parturients undergoing elective cesarean delivery under combined spinal-epidural anesthesia between Jan 2024 and Mar 2024, were randomly divided into 2 groups: the W group, who received 100 mL of oral water intake, and the C group, who received 10 mL of water, approximately 10 min after surgery. The primary outcome was maternal satisfaction with early oral intake after cesarean delivery; the secondary outcomes included maternal degree of thirst and hunger, gastric emptying assessed by ultrasonography, body temperature, degree of shivering, thermal comfort score, time to postoperative first flatus, and time to initiation of lactation, and gastric emptying assessed by ultrasonography. Results The VAS scores of maternal satisfaction 120 min after water intake in group C and group W were (46.7±19.8) mm and (76.8±16.9) mm, respectively (P< 0.001). At 30, 60, 90, and 120 min after water intake, the numerical rating scale (NRS) score of maternal thirst in group W was lower than that in group C (P<0.01). At 90 min post-intake, the cross-sectional area (CSA) of gastric antrum in group W had returned to the baseline level. At 120 min after oral intake, there was no significant difference in gastric antrum CSA between the two groups. At 90 min and 120 min after oral intake, the cases of gastric antrum CSA>10.3 cm2 in group W were 3 (6.7%) and 2 (4.4%), respectively, and there were no significant differences between the two groups. Changes in maternal residual gastric volume were consistent with CSA. There were no significant differences in postoperative blood pressure, heart rate, body temperature, the degree of shivering, thermal comfort score, time to flatus, or time to lactation between the two groups. Conclusion Fully conscious parturients who drank 100 mL of water early after cesarean delivery reported greater satisfaction and experienced reduced thirst. Furthermore, there was no delay in maternal gastric emptying as a result of early oral water intake postcesarean. [ABSTRACT FROM AUTHOR]