Assessing the Effect of Oral Versus Intravenous Fluids on Progress of Labor and Fetal Outcomes
American Journal of Nursing Science
Volume 6, Issue 1, February 2017, Pages: 19-25
Received: Dec. 10, 2016;
Accepted: Dec. 24, 2016;
Published: Jan. 19, 2017
Views 3282 Downloads 118
Shaimaa Hassan Mohamady, Maternal & Newborn Health Nursing Department, Faculty of Nursing, Helwan University, Helwan, Egypt
Hanan Fawzy Elsayed Ali, Maternal & Newborn Health Nursing Department, Faculty of Nursing, Helwan University, Helwan, Egypt
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, quasi-experimental 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 1st and 5th 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.
Shaimaa Hassan Mohamady,
Hanan Fawzy Elsayed Ali,
Assessing the Effect of Oral Versus Intravenous Fluids on Progress of Labor and Fetal Outcomes, American Journal of Nursing Science.
Vol. 6, No. 1,
2017, pp. 19-25.
Millen, K. R., Kuo, K., Zhao, L., & Gecsi, K., (2014): Evidence-based guidelines in labor management. Obstetric Gynecol Surv 69: 209-17.
Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D., (2013): Midwife-led versus other models of care for childbearing women. Cochrane Database Syst Rev; (12): CD004667.
Lavender, T., Hart, A., & Smyth, R. M., (2013): Effect of partogram use on outcomes for women in spontaneous labour at term. Cochrane Database Syst Rev; (7): CD005461.
Brown, H. C., Paranjothy, S., Dowswell, T., &Thomas, J., (2013): Package of care for active management in labour for reducing caesarean section rates in low-risk women. Cochrane Database Syst Rev. (9):CD004907.
Alfirevic, Z., Devane, D., & Gyte, G. M. L., (2013): Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database of Syst Rev, (5): CD006066.
Toohill, J., Soong, B., & Flenady, V., (2012): Interventions for ketosis during labour. Cochrane Database Syst Rev, (2): CD004230.
Hodnett, E., Lowe, N., Hannah, M., William, A., & Stevens, B., (2014): Effectiveness of nurses as providers of labor support in North American Hospitals, a randomized controlled trial. J, of the American association, 288 (11): 1373-81.
Devane, D., Lalor, J. G., Daly, S., McGuire, W., & Smith, V., (2012): Cardiotocography versus intermittent auscultation of fetal heart on admission to labour ward for assessment of fetal wellbeing. Cochrane Database Syst Rev. (2): CD005122.
Smyth, R. M., Alldred, S. K., Markham, C., (2013): Amniotomy for shortening spontaneous labour. Cochrane Database Syst Rev, (6): CD006167.
Rezk, A., Abdel Razek, M., Abdel Karem, M., & Eid, N. (2010): Does Hydration Shorten the Duration of Labour? The Department of Obstetrics & Gynaecology, Faculty of Medicine, Benha University. Med. J. Cairo Univ., Vol. 78, No. 2, September: 13-17.
Helwan hospital statistical centers (2012): Annual records of obstetric department.
WHO, (1994): Preventing Prolonged labor: A practical Guide (the Partograph Par1: Principles and Strategies). Geneva.
Apgar, V., (1953): A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg., 32 (4): 260-267.
Kavitha, A., Chacko, K. P., &Thomas, E., (2012): A randomized controlled trial to study the effect of IV hydration on the duration of labor in nulliparous women Archives of Gynecology and Obstetrics, Volume 285, Issue 2, pp 343–346.
Eslamian, R., Marsoose, V., & Parkneeyat, Y., (2011): Increase intra venous fluid intake and the course of labour in nulliparous women. Int J Gynaecol Obs; 93: 102.
Direkvan, D., Moghadam, A., & Rezaeian, M., (2012): Increased Intravenous hydration of nulliparas in labor. International Journal of Gynecology and Obstetrics, 118 (3): 213–5.
GARITE, T. J., WEEKS, J., & PETERS-PHAIR, K., (2000): A randomized controlled trial of the effect of increased intravenous hydration on the course of labor in nulliparous women. Am. J. Obstet. Gynecol., 183 (6): 1544-8.
Coc, A., Derksen-Schrock, A., & Coco, K., (2010): A randomized Trial of increased intravenous hydration in labor when oral ﬂuid is unrestricted. Fam Med 42 (1):52–56.