Oral intake during labor and its effect on labor progression in Indian women at a tertiary care centre

Lekshmi S. A.; Krishna Agarwal; Niharika Dhiman

doi:10.18203/2320-1770.ijrcog20232941

Authors

Lekshmi S. A. Department of Obstetrics and Gynaecology, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India https://orcid.org/0009-0002-7192-2136
Krishna Agarwal Department of Obstetrics and Gynaecology, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
Niharika Dhiman Department of Obstetrics and Gynaecology, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20232941

Keywords:

Cervical dilatation rates, Oral intake during labor, Satisfaction of oral intake during labor

Abstract

Background: Assessment of the subjective perception of the women regarding satisfaction of oral intake during labor and the effect of oral intake on cervical dilatation rates and labor duration in low-risk laboring women.

Methods: A prospective observational study was conducted from January 2021-July 2022 in a tertiary care hospital with 176 low risk laboring women. Satisfaction of oral intake in labor was assessed by a questionnaire post-delivery and the answers were analysed among various parous groups and were correlated with cervical dilatation rates in active and latent phase and duration of labor.

Results: Based on the satisfaction of oral intake in labor, the patients were divided into very satisfied, satisfied, neutral and dissatisfied group. Only 6.7% of primigravidas and 25% of multigravidas were very satisfied with oral intake. Patients who were dissatisfied and not satisfied with oral intake had slower median rates of cervical dilation of 0.45 cm/hour and 1.25 cm/hour in latent and active phase respectively compared to the very satisfied group who had a rate of 0.5 cm/hour and 2.4 cm/hour in the latent and active phase in primigravidas. The mean duration of the first and second stage of labor was 15.5 hours and 50 minutes in the dissatisfied group which was prolonged compared to the patients who had very satisfied oral intake in labor with a duration of 9.6 hours and 30.8 minutes respectively among the primi-gravidas

Conclusions: In primi-gravidas the cervical dilation rates were faster in the group who were very satisfied and satisfied with their oral intake compared to the group who were dissatisfied. The labor duration was also prolonged among the dissatisfied group.

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References

Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anaesthesia. Am J Obstet Gynecol. 1946;52:191-205.

American Society of Anaesthesiologists’ Task Force on Obstetric Anaesthesia. Practice guidelines for obstetric anaesthesia. Anaesthesiology. 2007;106:843-63.

Scheepers HC, Thans MC, De Jong PA, Essed GG, Le Cessie S, Kanhai HH. A double-blind, randomised, placebo-controlled study on the influence of carbohydrate solution intake during labour. BJOG. 2002;109(2):178-81.

O’Sullivan G, Liu B, Hart D, Seed P, Shennan A. Effect of food intake during labour on obstetric outcome: randomised controlled trial. BMJ. 2009;25:338.

NA. Providing Oral Nutrition to Women in Labor: American College of Nurse-Midwives. J Midwifery Womens Health. 2016;61(4):528-34.

ACOG Committee Opinion No. 766: Approaches to Limit Intervention During Labor and Birth. Obstet Gynecol. 2019;133(2):e164-73.

American Society of Anaesthesiologists. Practice guidelines for obstetric anaesthesia: an updated report by the American Society of Anaesthesiologists Task Force on Obstetric Anaesthesia and Society for Obstetric anaesthesia and Perinatology. Anaesthesiology. 2016;124(2):270-300.

World Health Organization. WHO recommendations on intrapartum care for a positive childbirth experience. World Health Organization; 2018. Available at: https://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/. Accessed on 18 August 2023.

Simkin P. Stress, pain, and catecholamines in labor: Part 1. A review. Birth. 1986;13(4):227-33.

Tranmer JE, Hodnett ED, Hannah ME, Stevens BJ. The effect of unrestricted oral carbohydrate intake on labor progress. J Obstet Gynecol Neonatal Nurs. 2005;34(3):319-28.

Parsons M, Bidewell J, Nagy S. Natural eating behaviour in latent labor and its effect on outcomes in active labor. J Midwifery women’s Health. 2006;51:e1-6.

Scrutton MJ, Metcalfe GA, Lowy C, Seed PT, O'Sullivan G. Eating in labour. A randomised controlled trial assessing the risks and benefits. Anaesthesia. 1999;54(4):329-34.