The tradition of withholding postoperative enteral feeds until the spontane
ous resolution of ileus, demonstrated by the return of flatus or bowel move
ment is not supported by the literature, There is an abundance of evidence
from the basic science end general surgery literature that supports early f
eeding after surgery, This is a review of the available literature on posto
perative feeding, including data from gastrointestinal physiology, We concl
ude that early feeding is safe and well tolerated after most obstetric and
gynecologic procedures and will lead to decreased cost, shorter hospitaliza
tion, and improved patient satisfaction.