A randomized controlled trial to study the effect of IV hydration on the duration of labor in nulliparous women

Abraham, Kavitha; Chacko, Kuruvilla P.; Thomas, E; Rathore, Swati; Christoper, Solomon; Biswas, Bivas; Mathews, Jiji Elizabeth

doi:10.1007/s00404-011-1978-7

Cited by 21 publications

(19 citation statements)

References 5 publications

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“…These findings are in accordance with, GARITE, et al, 2000 [17] who found that, inadequate hydration in labor may be a factor contributing to dysfunctional labor and possibly cesarean delivery. This result disagrees with that of Kavitha, (2012) [14] who reported that, there was no statistically significant reduction in the number of caesarean sections (CS) in the intravenous fluid group (risk ratio (RR) 0.73, 95% CI 0.49 to 1.08,) in the two studies (315 women). On the other hand, there was no statistically significant difference between both groups regarding perineal lacerations, and maternal complications.…”

Section: Discussioncontrasting

confidence: 75%

Assessing the Effect of Oral Versus Intravenous Fluids on Progress of Labor and Fetal Outcomes

Mohamady¹

2017

AJNS

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Abstract:Background: Childbirth is a natural physiological process, yet it is a life -changing events for many women.However, the care given to women during labor has the potential to affect them both physically and emotionally, likewise, short and long term labor and delivery management are the most common medical issues facing the health caregivers. The study aimed to evaluate effects of oral versus intravenous hydrations on progress of labor and fetal outcomes. A, quasiexperimental design was utilized. Purposive samples of 112 parturient women were randomly allocated into the study and the control groups. The study was conducted at obstetric and gynecologic department, Helwan General Hospital, Egypt. Data were collected through four main tools: structured interviewing questionnaire, delivery and maternal assessment, the Partograph, and neonatal assessment record. The study findings indicated that no significant differences were found between the two groups in their demographics, the mean duration of the first stage of labor in study group was significantly shorter than the control group. However, the duration of the second stage and the third stage of labor in the study group were significantly shorter than the control group. There were statistical significant difference among the study group and control group regarding the two Apgar scores in 1 st and 5 th minutes. The study and research hypothesis concluded that administration of intravenous infusion enhances labour and reduce the first stage of labour duration, consequently, the duration of labour. The study recommended the benefit of increased intravenous hydration in labor, as well as the role of supplemental oral hydration.

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Section: Discussioncontrasting

confidence: 75%

Assessing the Effect of Oral Versus Intravenous Fluids on Progress of Labor and Fetal Outcomes

Mohamady¹

2017

AJNS

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“…Multiple randomized controlled trials (RCTs) have compared intravenous fluid rates of 125-250 mL/h in laboring nulliparous women (7)(8)(9)(10)(11)(12)(13)(14). Many of these studies have demonstrated clinically significant reductions in the rate of cesarean delivery but others have not.…”

Section: Introductionmentioning

confidence: 99%

Intravenous fluid rate for reduction of cesarean delivery rate in nulliparous women: a systematic review and meta‐analysis

Ehsanipoor

Saccone

Seligman

et al. 2017

Acta Obstet Gynecol Scand

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Our findings provide evidence that the duration of labor in low-risk nulliparous women may be shortened by a policy of intravenous fluids at a rate of 250 mL/h rather than 125 mL/h. A rate of 250 mL/h seems to be associated with a reduction in the incidence of cesarean delivery compared to 125 mL/h. The number needed to treat to prevent one cesarean delivery is 18 women. Our data support increased hydration among nulliparous women in labor when oral intake is restricted. Further study is needed regarding risks and benefits of increased hydration among women with unrestricted oral intake, those undergoing induction of labor, and those with medical comorbidities.

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“…Several smaller studies have not consistently confirmed these findings. 10,11,12 IV infusion rates were not specifically controlled in our protocol, but the overall infusion amounts did not differ between groups. The lower amount of study fluids in the D5LR group is explained by the use of LR for all IV fluid boluses regardless of group.…”

Section: Discussionmentioning

confidence: 99%

A multi-center randomized trial of two different intravenous fluids during labor

Dapuzzo-Argiriou

Smulian

Rochon

et al. 2015

The Journal of Maternal-Fetal & Neonatal Medicine

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Objective To determine if the intrapartum use of a 5% glucose-containing intravenous solution decreases the chance of a cesarean delivery for women presenting in active labor. Methods This was a multi-center, prospective, single (patient) blind, randomized study design implemented at 4 obstetric residency programs in Pennsylvania. Singleton, term, consenting women presenting in active spontaneous labor with a cervical dilation of <6cm were randomized to lactated Ringer's with or without 5% glucose (LR versus D5LR) as their maintenance intravenous fluid. The primary outcome was the cesarean birth rate. Secondary outcomes included labor characteristics, as well as maternal or neonatal complications. Results There were 309 women analyzed. Demographic variables and admitting cervical dilation were similar among study groups. There was no significant difference in the cesarean delivery rate for the D5LR group (23/153 or 15.0%) versus the LR arm (18/156 or 11.5%), [RR (95%CI) of 1.32 (0.75, 2.35), P=0.34]. There were no differences in augmentation rates or intrapartum complications. Conclusions The use of intravenous fluid containing 5% dextrose does not lower the chance of cesarean delivery for women admitted in active labor.

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A randomized controlled trial to study the effect of IV hydration on the duration of labor in nulliparous women

Abstract: This study establishes a trend towards decreased incidence of prolonged labor and less vomiting in patients receiving intravenous hydration.

Cited by 21 publications

References 5 publications

Assessing the Effect of Oral Versus Intravenous Fluids on Progress of Labor and Fetal Outcomes

Assessing the Effect of Oral Versus Intravenous Fluids on Progress of Labor and Fetal Outcomes

Intravenous fluid rate for reduction of cesarean delivery rate in nulliparous women: a systematic review and meta‐analysis

A multi-center randomized trial of two different intravenous fluids during labor

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