Relationships Among Intrapartum Maternal Fluid Intake, Birth Type, Neonatal Output, and Neonatal Weight Loss During the First 48 Hours After Birth

Lamp, Jane M.; Macke, Judi K.

doi:10.1111/j.1552-6909.2010.01106.x

Cited by 17 publications

(22 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast to other reports (4)(5)(6)(8)(9)(10)(11), no infant lost Ն10% of birth weight. This is most similar to that found in a study by Konetzny and colleagues, in which 2.4% (67 of 2,788) of exclusively breastfed infants lost at least 10% of birth weight at a BabyFriendly hospital in Switzerland (8).…”

Section: Resultscontrasting

confidence: 80%

“…Some studies have found cesarean section delivery (9) and maternal fluid balance (5) to be associated with increased neonatal weight loss, others have not (11). Given that lactogenesis stage II can be delayed after a cesarean section (12,13), it was surprising to find that infants delivered by cesarean section did not lose more weight than infants born vaginally.…”

Section: Resultsmentioning

confidence: 91%

See 1 more Smart Citation

Neonatal Weight Loss at a US Baby-Friendly Hospital

Grossman¹,

Chaudhuri²,

Feldman-Winter³

et al. 2012

Journal of the Academy of Nutrition and Dietetics

View full text Add to dashboard Cite

Section: Resultscontrasting

confidence: 80%

Section: Resultsmentioning

confidence: 91%

Neonatal Weight Loss at a US Baby-Friendly Hospital

Grossman¹,

Chaudhuri²,

Feldman-Winter³

et al. 2012

Journal of the Academy of Nutrition and Dietetics

View full text Add to dashboard Cite

“…With some of these variables, causality is ambiguous, for example, the longer hospital stay might be the result of the weight loss not the cause of the loss. Lamp and Macke analyzed data related to maternal intrapartum fluid intake from admission to birth, and neonatal weight, output, and feedings in the first 48 hours [10]. They found the maternal fluids were not related to neonatal weight loss, but the number of diapers was predictive of the weight loss.…”

Section: Introductionmentioning

confidence: 99%

“…Dahnberg et al showed that infants of mothers who received IV fluids had hyponatremia and lost 50% more weight than infants whose mothers only received oral fluids (6.17% ± 3.36 SD versus 4.07% ± 2.20 SD, p < 0.01) [20]. Researchers have recently begun to question the effect of maternal fluids during parturition on neonatal weight loss [10,12]. The hypotheses for this study presuppose that women receive IV fluids for medical reasons [1,2], fluids move freely from a woman to her fetus [15], the newborn is overhydrated due to iatrogenic factors [20], and a correction in the newborn's fluid balance is a measurable weight loss.…”

Section: Introductionmentioning

confidence: 99%

An observational study of associations among maternal fluids during parturition, neonatal output, and breastfed newborn weight loss

et al. 2011

View full text Add to dashboard Cite

BackgroundNewborn weight measurements are used as a key indicator of breastfeeding adequacy. The purpose of this study was to explore non-feeding factors that might be related to newborn weight loss. The relationship between the intravenous fluids women receive during parturition (the act of giving birth, including time in labour or prior to a caesarean section) and their newborn's weight loss during the first 72 hours postpartum was the primary interest.MethodsIn this observational cohort study, we collected data about maternal oral and IV fluids during labour or before a caesarean section. Participants (n = 109) weighed their newborns every 12 hours for the first three days then daily to Day 14, and they weighed neonatal output (voids and stools) for three days.ResultsAt 60 hours (nadir), mean newborn weight loss was 6.57% (SD 2.51; n = 96, range 1.83-13.06%). When groups, based on maternal fluids, were compared (≤1200 mls [n = 21] versus > 1200 [n = 53]), newborns lost 5.51% versus 6.93% (p = 0.03), respectively. For the first 24 hours, bivariate analyses show positive relationships between a) neonatal output and percentage of newborn weight lost (r(96) = 0.493, p < 0.001); and b) maternal IV fluids (final 2 hours) and neonatal output (r(42) = 0.383, p = 0.012). At 72 hours, there was a positive correlation between grams of weight lost and all maternal fluids (r(75) = 0.309, p = 0.007).ConclusionsTiming and amounts of maternal IV fluids appear correlated to neonatal output and newborn weight loss. Neonates appear to experience diuresis and correct their fluid status in the first 24 hours. We recommend a measurement at 24 hours, instead of birth weight, for baseline when assessing weight change. Because practices can differ between maternity settings, we further suggest that clinicians should collect and analyze data from dyads in their care to determine an optimal baseline measurement.

show abstract

“…Because weight loss may carry a greater risk of subsequent morbidities, increased attention to preventive strategies is indicated. Conversely Lamp and, Macke conducted a study on 200 mother/neonate to examine predictive relationships among intrapartum maternal fluid intake, birth type, neonatal output, and neonatal weight loss during the first 48 hours after birth [16]. They concluded that neonatal weight loss was not significantly related to intrapartum maternal fluid intake.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Intravenous Protocols During Labor on Maternal \ Newborn Outcomes

Ghonemy¹

2017

2471-6529

View full text Add to dashboard Cite

happening are less than being struck by lightning (seven events in 10 million births) as reported by Dekker [9]. Also, reducing hypotension in the mother following epidurals and intrathecal anaesthesia for caesarian sections is one of the major causes for providing intravenous fluids to keep women adequately hydrated during labour [13]. Routine administration of intravenous fluids to keep women adequately hydrated during labour may reduce the period of contraction and relaxation of the uterine muscle, and may ultimately reduce the duration of the labour. It has also been suggested that intravenous fluids may reduce Caesarean Sections (CS) for prolonged labour [8]. Finally, in 2012, Kavitha et al. randomized 293 moms into one of three groups: oral fluids (plain water and coconut water), IV fluids at 125 ml/hr, or IV fluids at 250 ml/hr [15]. The women in the IV fluid groups were also allowed to have oral fluids. There were no differences between groups regarding length of labor (first stage, second stage, or total length), oxytocin augmentation, or any other complications. There were no differences in complication rates, and no cases of pulmonary edema (However, again, other signs and symptoms of fluid volume overload were not measured).Intravenous therapy instead of oral hydration is common practice in labor, historically, practitioner administered high dose of glucose solution to combat the development of ketones, more commonly now are isotonic or low dose glucose as high dose and rapid infusion of glucose solution are associated with increased incidence of maternal and fetal hyperglycemia and fetal acidemia. Also, dextrose only solution caused a fall in serum osmolarity and sodium concentration [1]. Regardless of solution type, intravenous therapy predispose women to immobilization, stress, increased risk of fluid overload and does not ensure a nutrient and fluid balance for the demand of labor [24]. A study was conducted by Dawood, Dowswell and Quenby to assess the impact of administering frequent IV fluids to nulliparous women on lowering the labor duration with a random selection of cases [8]. The most important findings of this study revealed a marked reduction in labor duration among women who delivered vaginally and through C.S after administering Ringer's lactate solution. Moreover, this study showed that higher infusion of IV fluids is associated with reduced labor duration. Additionally, women who received dextrose solution showed reduction in labor duration. However results of other trials proposed that AbstractBackground: Intravenous therapy instead of oral hydration is common practice in labor. Adequate rehydration has shown a reduction in labor duration. However results of other trials proposed that labor duration could be decreased by administering IV fluids at a rate of 250ml/hr which is better than giving such fluids in a rate of 125ml/hr.

show abstract

Relationships Among Intrapartum Maternal Fluid Intake, Birth Type, Neonatal Output, and Neonatal Weight Loss During the First 48 Hours After Birth

Cited by 17 publications

References 20 publications

Neonatal Weight Loss at a US Baby-Friendly Hospital

Neonatal Weight Loss at a US Baby-Friendly Hospital

An observational study of associations among maternal fluids during parturition, neonatal output, and breastfed newborn weight loss

The Impact of Intravenous Protocols During Labor on Maternal \ Newborn Outcomes

Contact Info

Product

Resources

About