A double‐blind, randomised, placebo controlled study on the influence of carbohydrate solution intake during labour

BJOG: An International Journal of Obstetrics and Gynaecology - Tập 109 Số 2 - Trang 178-181 - 2002
Hubertina Scheepers1, Marion C.J. Thans1, P.A. de Jong1, G.G.M. Essed2, Saskia le Cessie3, Humphrey H.H. Kanhai3
1Leyenburg Hospital, Den Haag, The Netherlands
2University Hospital, Maastricht, The Netherlands
3Leiden University Medical Center, The Netherlands

Tóm tắt

Objective Although there has been much debate on whether women should be allowed to eat and drink during labour, little scientific data are available on the effects of caloric intake on the course of labour.Design Double‐blind, randomised, placebo controlled.Setting Leyenburg Hospital, The Hague, The Netherlands.Population Two hundred and one consecutive nulliparous women, pregnant of a single fetus in cephalic presentation.Methods All women were included in early labour (2cm–4cm of cervical dilatation) and were allowed to drink at will.Main outcome measures The duration of labour, the need for augmentation and pain medication and the incidence of abdominal and vaginal instrumental deliveries.Results Drinking of carbohydrate solutions was well tolerated, but did not show any beneficial effects regarding labour outcome when compared with the control group. In the carbohydrate group, a higher caesarean section rate was observed (RR 2.9, 95% CI 1.29–6.54).Conclusions Women in the carbohydrate group had worse labour outcome. It is unclear whether a statistical coincidence, a negative effect of the carbohydrate intake or an incorrect carbohydrate intake strategy is responsible for these results. Further studies are necessary before any definite conclusion can be drawn.

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Tài liệu tham khảo

Mendelson CL, 1945, Aspiration of stomach contents during anesthesia, Am J Obstet Gynecol, 11, 191

10.1097/00006250-199102000-00030

10.1111/j.1365-2044.1991.tb09928.x

10.1097/00000542-199902000-00035

10.12968/bjom.1997.5.7.413

10.1111/j.1600-0412.1997.tb07987.x

10.1016/S0301-2115(98)00007-4

10.1093/med/9780192631732.001.0001

10.12968/bjom.1997.5.7.408

10.1016/S0146-0005(97)80074-2

Scheepers HCJ, 2002, Eating and drinking in labor: The influence of practioner advice on women's behavior, Birth

10.1016/S0300-9629(97)00064-9

10.1080/026404197367317

10.1007/s004240050228

10.1152/ajpendo.1991.260.6.E883

10.1097/00005768-199610000-00045

10.1046/j.1365-2044.1999.00750.x

10.1097/00004311-199400000-00005

10.1123/ijsn.9.3.263

10.1097/00000658-199512000-00006

10.1055/s-2007-971122

10.1055/s-2008-1036585

Thông tin
Thông tin xuất bản

BJOG: An International Journal of Obstetrics and Gynaecology

Tập 109 Số 2

178-181

Thông tin tác giả