The Study of the Efficiency of Chewing Gum on Stimulation of Bowel Function after Cesarean Delivery at Buddhasothorn Hospital


  • Yuttana Chanwaro Department of Obstetrics and Gynecology, Buddhasothorn Hospital, Chachoengsao


cesarean delivery, chewing gum, bowel function


Background and objective:  Pregnant women after cesarean delivery would have temporary ileus. This study aimed to assess the efficacy of gum chewing on stimulating bowel function in women after cesarean delivery.

Methods: This was a randomized control trial study. The representative samples were 60 pregnant women after cesarean delivery. They were randomly allocated to two groups: the gum chewing group (n=30) and the control group (n=30). The functional bowel informations such as the first bowel movement after cesarean delivery, first flatus, and first defecation were recorded.

Results: The duration of the first heard bowel movement of the gum chewing group (12.23±2.26 hours) was faster than the control group (13.86±1.96 hours) with statistical significance (p= 0.004), (Mean difference 1.62, 95%CI 0.53-2.72), the duration of the first flatus of the gum chewing group (24.38±3.62 hours) was faster than in the control group (28.88±2.80 hours) with statistical significance (p<0.001),(Mean difference 4.50, 95%CI 2.83-6.17). The duration of the first defecation of the gum chewing group (48.19±3.49 hours) and the control group (47.82±3.21 hours) was not statistically significantly difference (Mean difference 0.37, 95%CI -2.10-1.36).

Conclusion: Pregnant women after cesarean delivery who chew gum had the beginning bowel function faster than the pregnant women after cesarean delivery who did not chew gum.


World Health Organization. WHO statement on caesarean section rates executive summary. Reprod Health Matters 2015;23:149-50.

Manisha, Duhan N. Impact of gum chewing on recovery of bowel activity after caesarean section. Int J Reprod Contracept Obstet Gynecol 2020;9(3):1132-7.

Yin Z, Sun J, Liu T, Zhu Y, Peng S, Wang J. Gum Chewing: another simple potential method for more rapid improvement of postoperative gastrointestinal function. Degestion 2013;87:67-74.

Mei B, Wang W, Cui F, Wen Z, Shen M. Chewing gum for intestinal function recovery after colorectal cancer surgery: A systematic review and meta-analysis. Gastroenterol Res Pract. 2017;2017:3087904. doi: 10.1155/2017/3087904.

Kafali H, Duvan CI, Gozdemir E, Simavli S, Onaran Y, Keskin E. Influenze of gum chewing on postoperative bowel activity after cesarean section. Gynecol Obstet 2010;69:84-7.

Mutlag SA, Farouk D, Youssef D. The relation between gum chewing in early post-operative period and thae return of gastro-intestinal function after cesarean section. Obstet Gynecol Int J 2019;10:408-12.

Short V, Herbert G, Perry R, Lewis SJ, Atkinson C, Ness AR, et al. Chewing gun for postoperative recovery of gastrointestinal function. Cochrane Database Syst Recv 2015 Feb 20;(2):CD006506.

Shaban M. The role of gum chewing in regaining bowel motility in patients undergoing cesarean section: a randomized controlled trial. Evid Based Woman’s Health J 2022;12(1):43-7.

Pereira Gomes Morais E, Riera R, Porfirio G, Macedo CR, Vasconcelos VS, Pedrosa AS, et al. Chewing gum for enhancing early recovery of bowel function after cesarean section.Cochrane Database of Syntematic Reviews 2015, Issue 3. Art. No.:CD11562. DOI: 10.1002/14651858.CD011562.

Gayathri R, Haritha S, Rajagopalan G, Elamurugan TP. Effect of chewig gum on bowel recovery following caesarean section: a randomized controlled trial. Int Surg J 2020;7:3576-80.

Bang YJ, Lee JH, Kim CS, Lee YY, Min JJ. Anxiolytic effects of chewing gum during preoperative fasting and patient-centered outcome in female patients undergoing elective gynecologic surgery: randomized controlled study. Sci Rept 2022;12:1-10.

Ledari FM, Barat S, Delavar MA, Banihosini SZ, Khafri S. Chewing sugar-free gum reduces ileus after cesarean section in nulliparous woman: a randomized clinical trial. Iran Red Crescent Med 2013;15:330-4.

Sahin E, Terzioglu F. The effect of gum chewing, early oral hydration, and early mobilization on intestinal motility after cesarean birth. Worldviews on Evidense-Based Nurs 2015;12:380-8.

Hetherington MM, Regan MF. Effect of chewing gum on short-term appetite regulation in moderately restrained eaters. Appetite 2011;57:475-82.



How to Cite

Chanwaro Y. The Study of the Efficiency of Chewing Gum on Stimulation of Bowel Function after Cesarean Delivery at Buddhasothorn Hospital. SRIMEDJ [Internet]. 2022 Dec. 22 [cited 2024 Jul. 23];37(6):596-601. Available from:



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