The impact of non-pharmacological approaches on post-cesarean ileus: A critical review - Payesh (Health Monitor)
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Volume 23, Issue 2 (March-April 2024)                   Payesh 2024, 23(2): 185-197 | Back to browse issues page

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Yas A, Mansouri Ghezelhesari E, Latifnejad Roudsari R. The impact of non-pharmacological approaches on post-cesarean ileus: A critical review. Payesh 2024; 23 (2) :185-197
1- Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
2- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Science, Mashhad, Iran
Abstract:   (684 Views)
Objective (s): This study aimed to critically evaluate published clinical trials on the effect of non-pharmacological approaches on post-cesarean ileus.
Methods: Non-pharmacological clinical trials on ileus after cesarean delivery were searched in Pubmed, Web of science, Scopus, Embase, ProQuest, SID, Magiran, Iranmedex databases. The key words: Cesarean Delivery, Ileus, Bowel Movements, Passing Gas, Defecation, Bowel Function and Non-Pharmacological Methods were used from 1/1/2011 to 9/25/2023.The Studies were evaluated by the CONSORT checklist of non-pharmacological interventions consisting of six sections, 25 questions and 44 items. SPSS2019 software was used for descriptive data analysis.
Results: A total of 23 articles were critically evaluated. The following non-pharmacological methods were found: nine articles related to chewing gum (40%), five articles related to premature feeding after cesarean section (21%), three articles related to acupressure (13%), two articles related to drinking coffee (9%), one article on exercise (4.5%) and three articles on medicinal plants (13%). The compliance percentage of the articles with Consort criteria was 60% and their mean score was 27±4.4 ranging from 14 to 33. The most discrepancies were in the results and method sections.
Conclusion: The quality of clinical trials on non-pharmacological methods on ileus after cesarean delivery in the last 10 years was intermediate, which suggest the need for more attention by investigators using the standard checklists for reporting studies.
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type of study: Systematic Reviw | Subject: Reproductive Health
Received: 2023/07/19 | Accepted: 2023/12/4 | ePublished ahead of print: 2024/01/20 | Published: 2024/03/10

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