Review: Efficacy of Ginger in the Prevention of Abdominal Distention| Nursing Homework Help

Who conducted/assisted the current study?

The article “Randomized, double-blind, placebo-controlled trial on the efficacy of ginger in the prevention of abdominal distention in post-cesarean section patients.” was written by Vorapong Phupong &Wasinee Tianthong. The two authors developed the concept as well as the design of the study. Phupong assisted Wasinee Tianthong to carry out the research. Both writers gathered relevant information and summarized the info before conducting data analysis and interpretation (Tianthong & Phupong, 2018). Each writer took part in the development of all sections of the research paper. However, Tianthong wrote the draft while Vorapong critically reviewed it.

What is (are) the source (s) of the study funding, if any?

The research was backed up by various organizations which offered financial support. Vorapong Phupong &Wasinee Tianthong received money from Ratchadapiseksompotch Fund, Faculty of Medicine, Chulalongkorn University. The Obstetrics and Gynecology Unit of the faculty of medicine at the University of Chulalongkorn. Additionally. The Placenta Related Research department of the University also contributed to the development of the study through material support (Tianthong & Phupong, 2018). The funds and grants received by the authors supported made it possible for the researchers to develop the research, present the findings and publish their article.

What is the research strategy used by Tianthong & Phupong (2018)?

The used experimental approach as their research strategy, a method that was in line with the purpose and the objective of the study. The researchers wanted to examine the effectiveness of ginger in the preclusion of abdominal distention in patients who go through cesarean section. Therefore, they carried out a randomized, double-blind, placebo trial.

What type of study is conducted?

Wasinee Tianthong & Vorapong Phupong present a descriptive and explanatory type of research. The article examines the effectiveness of ginger when it comes to the preclusion of abdominal distention, a problem that has not been effectively addressed by previous researches. The study generates various explanations that provide a better understanding of the research problem. The study tries to relate different concepts in a bid to increase knowledge concerning the effects of cesarean delivery, for example the authors establish the connection between the quality of life, abdominal distention and symptoms associated with delivery (nausea vomiting and abdominal discomfort). The characteristics of the population, as well as the phenomenon being investigated, have been defined through a descriptive approach (Tianthong & Phupong, 2018). The authors describe the participants in terms of measurable figures, for instance, women required for the study and the rate of abdominal distention expressed in term of proportion/per cent (%).   Furthermore, writers use a descriptive approach to present the findings based on the trials that were carried out. The outcome of the data analyzed using the SPSS software is described using this approach. A flow chart and several tables give a summary of the outcomes of the trial and data analysis. The tables and the charts are coupled with respective descriptions of the variables being invested including ginger groups and placebo group.

What is the motivating research question?

No section presents the research questions. The study is based on an objective that has been clearly stated in the abstract. Any scholar going through the research paper can easily understand the purpose of the study which is revealed in various parts including the main topic. The study focuses on a problem that affects women during delivery. Although there is no specific research question, any reader can consider the effectiveness of ginger in preclusion of abdominal distention in cesarean patients as a basis for the key research question (Tianthong & Phupong, 2018). Thus, what is the effectiveness of ginger as a drug that is used to prevent abdominal distention in post-cesarean section patients? In my view, this is a motivating question. Cesarean delivery patients are likely to experience various complications and symptoms and hence is important or rather exciting to understand how ginger can be used to prevent such symptoms.

What are the independent and dependent variables?

There were two main variables, ginger group and placebo group. No variable is regarded as independent or dependent in the article. The two can be considered as independent variables.

What is the most general research hypothesis for the primary outcome?

The most general or common hypothesis for the primary result is that ginger is whether ginger is effective in preventing abdominal distention among post caesarian section survivors or not. The research seeks to determine the efficacy of ginger through trials. The results and the content provided in the articles give attention to Caesarian delivery, related effects and how abdominal distention can be prevented by taking ginger.

            What type(s) or sample(s) is (are) employed in the study? Briefly, describe the sample(s). What is a recruitment strategy? Is the sample strong on external          validity?

A random sample was developed through random sampling technique. Each woman (member) of the subset had an equal probability of being chosen. Participants or responders were randomized into different groups using a random number table. The groups included treatment and placebo groups.  The women who participated in the study were randomly assigned groups 89 women were given ginger while 89 were given a placebo (Tianthong & Phupong, 2018). The researcher who was not in touch with patients came up with allocation sequence before the study. Nurses registered and assigned participants with corresponding groups. Placebo and the drugs were prepared before the study. Opaque envelopes were labelled based on the sequence. Each envelope contained 18 capsules/placebo. Each envelope was circulated in numerical and sequential order.

How are the data collected?

Primary data was collected through an experimental approach. Women aged between 18-40 years within 1 day postpartum were requested to participate in the study. Eligible gave their consent and enrolled (Tianthong & Phupong, 2018). Some of these women were assigned a ginger treatment group while others placebo group. A test was conducted and results were presented for further analysis. Secondary data was retrieved from various studies related to the topic.

Is the study strong on internal validity, why or why not? Are two or more groups comparable on measured potential confounders?

Yes, the research is strong on its internal validity since the experiment was done on the best way possible. Besides, the writers tried as much as possible to avoid confounding variable. Yes.

How were the ethical concerns dealt with in the current study?

The information obtained from patients through the trial was regarded as private and confidential. The authors acknowledged the participation and contribution of various parties in the research including funders. Moreover, the authors seek approval from the Research Ethics Committee of the Faculty of Medicine (RECFM) of Chulalongkorn University.

What are the results?

            Ginger does not reduce cases of post-cesarean section abdominal distention however it is more effective in relieving the severity of the swelling of the abdomen four days after operations. Additionally, it improves the ability to eat.

Interpret the p-value for “Fourth Day” in table 2, page 4,

The P-value on the fourth day is less than 0.05 hence the null hypothesis is rejected and the alternative hypothesis accepted. Thus, abdominal distention was severe on the fourth day after the operation. Ginger relieved the severity.

What are the study’s limitations, if any?

  • It was a single centre research
  • The researchers did not use a short form (SF)-36 to assess the quality of life.
  • Abdominal distention was assessed through physical examination and by retrieving information from history




Tianthong, W., & Phupong, V. (2018). A randomized, double-blind, placebo-controlled trial on the efficacy of ginger in the prevention of abdominal distention in post-cesarean section patients. Scientific reports, 8(1), 6835.

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