Obstetric anesthesia

Effect of early oral carbohydrate intake after elective Cesarean delivery on maternal body temperature and satisfaction: a randomized controlled trial

Can J AnaesthPublished Randomised controlled trial

Primary result · Maternal body temperatureResult — go to the resultDifference in means 0.14 °C 95% CI 0.02–0.26

Authors' conclusion

Early oral carbohydrate intake after Cesarean delivery helped to restore maternal body temperature postoperatively and improve maternal satisfaction.

Study context

Population
Parturients undergoing elective Cesarean delivery under spinal anesthesia with tympanic temperature ≤ 36.5 °C on PACU arrivalincluded in final analysis
Participants
90 participants
Comparison
CC vs C
Primary endpoint
Maternal tympanic membrane temperature
Follow-up
120 min after ingestion

Primary result

Maternal body temperature

Difference in means

0.14 °C

95% CI 0.02–0.26

P = 0.02

By group

CC vs C
difference in means 0.14 °C (95% CI 0.02–0.26); P = 0.02

As reported in the abstract

Further findings

Maternal satisfaction (VAS)

P < 0.001

OutcomeP value
Linear trends of temperature over time (repeated measure models)Significantly differentP = 0.04
Thermal comfort score · 120 min after ingestionHigher in CCP = 0.02
Linear trends of shivering score over timeDifferentP = 0.003

Safety

Gastric antrum cross-sectional area > 10.3 cm² (ultrasonography) · 90 and 120 min after ingestion

No differences between the two groups in number of participants

Original publication

Effect of early oral carbohydrate intake after elective Cesarean delivery on maternal body temperature and satisfaction: a randomized controlled trial. Can J Anaesth. Published 15 September 2023. doi:10.1007/s12630-023-02564-6

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