Effect of Preoperative Oral Carbohydrate on Enhanced Recovery after Cesarean Section

doi:10.12280/gjfckx.20240649

Abstract

Abstract:

Preoperative oral carbohydrate is a key component of enhanced recovery after cesarean delivery (ERAC). It requires women to take an isotonic complex carbohydrate solution (containing maltodextrin, fructose, glucose and taurine) orally 2 to 3 hours before surgery. However, its beneficial and harmful effects have been controversial in this particular group of women. Studies have shown that preoperative oral carbohydrate intake, as a complex process involving multiple levels and angles, can alleviate maternal hunger, reduce insulin resistance, shorten the recovery time of intestinal function, prevent intraoperative hypothermia and reduce the incidence of postoperative nausea and vomiting, and help to reduce neonatal complications, promote breastfeeding, and thus improve maternal and infant outcomes. The specific effects of preoperative oral carbohydrate on ERAC and its mechanism in ERAC process were reviewed in order to provide theoretical support for in-depth study and clinical application of ERAC.

Key words: Caesarean section, Enhanced recovery after cesarean delivery, Carbohydrates, Dietary therapy, Insulin resistance

XI Xin-xin, GUO Hong, LI Shan, FENG Di, LIU Duo-duo. Effect of Preoperative Oral Carbohydrate on Enhanced Recovery after Cesarean Section[J]. Journal of International Obstetrics and Gynecology, 2024, 51(6): 616-619.

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