Influence of intrapartum maternal fluids on weight loss in breastfed newborns

Giudicelli, Margot; Hassler, Michelle; Blanc, Julie; Zakarian, Carole; Tosello, Barthélémy

doi:10.1080/14767058.2020.1731453

Cited by 8 publications

(4 citation statements)

References 14 publications

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“…Our study also determined that neonates delivered via a CS tend to lose more weight in the first days of life. According to Giudicelli et al, excessive weight reduction is associated with a greater amount (at least 1500 mL) of solute received during labor (p < 0.001) [39]. It is known that fluids cross the placental barrier, primarily via simple diffusion, moving along an osmotic gradient.…”

Section: Discussionmentioning

confidence: 99%

The Role of Skin-to-Skin Contact and Breastfeeding in the First Hour Post Delivery in Reducing Excessive Weight Loss

Jurgelėnė,

Kuzmickienė,

Stonienė

2024

Children

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Background and aims: An excessive weight loss (EWL) of >10% after birth is associated with serious health outcomes. The aim of this study was to determine factors that can reduce weight loss in full-term, exclusively breastfed infants after birth. Methods: This is a retrospective, observational, single-center study. We included 642 healthy, full-term, exclusively breastfed neonates born in 2019 in a baby-friendly hospital, and their healthy mothers. The exclusion criteria were as follows: supplementation with formula, multiple pregnancies, and neonates or mothers with health issues. Results: The mean percentage of neonatal weight loss after 24 h of life was 5.13%, and that after 48 h was 6.34%. Neonates delivered via a caesarean section lost more weight after 24 and 48 h of life than those delivered via vaginal delivery (p < 0.01). There is a noticeable pattern that neonates tend to lose more weight if they do not get skin-to-skin contact (SSC) and breastfeeding within the first hour after birth (p > 0.05). Conclusions: Neonates born via a CS tend to lose more weight after 24 and 48 h of life. Immediate SSC and breastfeeding in the first hour after delivery may decrease the excessive weight loss.

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Section: Discussionmentioning

confidence: 99%

The Role of Skin-to-Skin Contact and Breastfeeding in the First Hour Post Delivery in Reducing Excessive Weight Loss

Jurgelėnė,

Kuzmickienė,

Stonienė

2024

Children

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“…fl uids and may falsely exaggerate early weight loss, especially when fl uid administration exceeds 1,500 mL. 38 Establishment of increased milk production or lactogenesis II typically occurs 3 to 4 days after delivery. 6 Risk factors for delayed milk production leading to insufficient infant weight gain risk include retained placenta, postpartum hemorrhage, maternal obesity, polycystic ovarian syndrome, maternal diabetes, hypertension in pregnancy, preterm labor, cesarean delivery, and excessive blood loss during labor.…”

Section: Poor Weight Gainmentioning

confidence: 99%

“…Excess newborn weight loss correlates with maternal receipt of intrapartum I.V. fluids and may falsely exaggerate early weight loss, especially when fluid administration exceeds 1,500 mL 38. Establishment of increased milk production or lactogenesis II typically occurs 3 to 4 days after delivery 6.…”

Section: Patient-centered Approach To Postdelivery Carementioning

confidence: 99%

Rethinking breastfeeding management

Scott

Kirkland

2023

The Nurse Practitioner

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“…meta-analysis did not consider the total volume of fluids administered across the groups. Some studies have indicated a high risk of neonatal weight loss associated with increased intrapartum fluid, which is believed to be associated with potential volume overload and subsequent neonatal diuresis 28,29. Also, a pilot study shows a higher risk of postpartum breast edema and pain related to increased amounts of intrapartum IV fluid, which can make lactation difficult for the neonate 30.…”

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confidence: 99%

Intravenous fluid rate of 250 mL/h versus 125 mL/h in nulliparous women: A systematic review and meta‐analysis of randomized controlled trials

Imran,

Kamran,

Fakih

et al. 2023

Intl J Gynecology & Obste

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BackgroundEvidence regarding the type and rate of intravenous (IV) fluid administration during labor is still inconclusive and the studies assessing the impact of IV fluids had mixed results.ObjectivesTo evaluate the effects of IV fluids at an infusion rate of 250 mL/h as compared with 125 mL/h on labor outcomes in nulliparous women.Search StrategyWe searched six databases for relevant studies through a search strategy containing the relevant keywords “IV hydration”, “IV fluids”, and “labor” from the inception of these databases to May 1, 2023, without any applied restrictions.Selection CriteriaSearch results were imported to Covidence for screening of eligible articles for this review. Randomized controlled trials (RCTs) assessing the impact of IV fluids at 250 mL/h on the outcomes of labor in nulliparous women at term (>37 weeks) as compared with 125 mL/h were included only.Data Collection and AnalysisData regarding the characteristics of included studies, participant's baseline characteristics, and concerned outcomes were collected in an Excel spreadsheet and all the concerned outcomes were pooled as risk ratios (RR) or mean difference (MD) with 95% confidence interval (CI) in the meta‐analysis models using RevMan 5.4.Main resultsPooled data from 11 RCTs with 1815 patients showed that 250 mL/h infusion rate had a significant reduction in cesarean section rate (RR 0.70, 95% CI 0.56–0.88, P = 0.002), the first stage of labor duration (MD –46.97, 95% CI –81.79 to −12.14, P = 0.008), the second stage of labor duration (MD –2.69, 95% CI –4.34 to −1.05, P = 0.001), prolonged labor incidence (RR 0.72, 95% CI 0.58–0.89, P = 0.003), as compared with 125 mL/h. Also, the vaginal delivery rate (RR 1.07, 95% CI 1.02–1.12, P = 0.009) was higher with a 250 mL/h infusion rate.ConclusionIV fluids at an infusion rate of 250 mL/h during labor in nulliparous women decreased the cesarean delivery rate, increased the vaginal delivery rate, shortened the first and second‐stage labor duration, decreased the incidence of prolonged labor as compared with 125 mL/h. These findings suggest enhanced labor progression and a lower risk of labor complications with higher infusion rates. However, future research involving a more diverse population and exploring the potential benefits of combining IV infusion rates with other interventions, such as adding dextrose or less restrictive oral intake during labor, is needed.

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Influence of intrapartum maternal fluids on weight loss in breastfed newborns

Cited by 8 publications

References 14 publications

The Role of Skin-to-Skin Contact and Breastfeeding in the First Hour Post Delivery in Reducing Excessive Weight Loss

The Role of Skin-to-Skin Contact and Breastfeeding in the First Hour Post Delivery in Reducing Excessive Weight Loss

Rethinking breastfeeding management

Intravenous fluid rate of 250 mL/h versus 125 mL/h in nulliparous women: A systematic review and meta‐analysis of randomized controlled trials

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