The Effect of Xylitol Gum Chewing After Cesarean on Bowel Functions: A Randomized Controlled Study

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dc.authoridELKAN KIYAT, ZELIHA/0000-0001-5886-3229
dc.contributor.authorKiyat, Zeliha Elkan
dc.contributor.authorSut, Hatice Kahyaoglu
dc.date.accessioned2024-06-12T10:55:00Z
dc.date.available2024-06-12T10:55:00Z
dc.date.issued2022
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPurpose: Postoperative ileus after cesarean is a common complication. The delay of bowel functions after cesarean influences early parenthood experience, increases the need for analgesic use, extends the duration of hospital stay, and causes cost increase. This study aimed to explore the effect of xylitol gum chewing after cesarean on bowel functions. Design: A prospective randomized controlled trial was conducted on subjects immediately after second hour of the cesarean in a ward of maternity. Methods: A total of 69 women were randomized to the xylitol gum chewing group (n = 23), the nonxylitol gum chewing group (n = 23), or the control group (n = 23). Data were collected from the women who agreed to participate and met the inclusion criteria. Starting with the second hour after the cesarean, women in the xylitol and nonxylitol gum chewing group were asked to chew gum for 15 minutes every 2 hours. The practice of chewing gum minimum of 8 hours and a maximum of 12 hours continued (until midnight). The data regarding the first times for bowel sounds, flatulation, defecation, a feeling of hunger, and length of hospital stay were compared. Findings: There is no difference in starting time of first bowel sounds (P =.070) and the first feeling of hunger (P =.098) among the groups. The first flatulation started at an earlier time in the xylitol gum chewing group than the control group (17.35 +/- 6.27 vs 11.18 +/- 5.39 hours, P =.003); first defecation time started earlier in the xylitol gum chewing group than nonxylitol gum chewing group (44.05 +/- 9.4 vs 37.58 +/- 9.96 hours, P =.022). Xylitol gum chewing group (51.77 +/- 10.3 vs 46.33 +/- 8.11 hours, P =.028) and nonxylitol gum chewing group (51.77 +/- 10.3 vs 50.23 +/- 5.72 hours, P =.024) were discharged from the hospital earlier than control group. Conclusions: In nursing care after cesarean, early period xylitol gum chewing is an efficient and user-friendly method to prompt bowel functions earlier. Xylitol gum chewing in nursing care is suggested to be involved. (c) 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jopan.2022.03.003
dc.identifier.endpage917en_US
dc.identifier.issn1089-9472
dc.identifier.issn1532-8473
dc.identifier.issue6en_US
dc.identifier.pmid35750598en_US
dc.identifier.scopus2-s2.0-85132882629en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage913en_US
dc.identifier.urihttps://doi.org/10.1016/j.jopan.2022.03.003
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19263
dc.identifier.volume37en_US
dc.identifier.wosWOS:000921175600006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Perianesthesia Nursingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBowel Functionsen_US
dc.subjectCesareanen_US
dc.subjectGum Chewingen_US
dc.subjectXylitolen_US
dc.subjectRecoveryen_US
dc.subjectSectionen_US
dc.subjectMotilityen_US
dc.subjectMetaanalysisen_US
dc.subjectDeliveryen_US
dc.titleThe Effect of Xylitol Gum Chewing After Cesarean on Bowel Functions: A Randomized Controlled Studyen_US
dc.typeArticleen_US

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