Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1384
8
1
gregorian
2005
11
1
18
4
online
1
fulltext
en
ASSESSMENT OF THE EFFECTS OF INCREASED INTRA VENOUS HYDRATION ON THE COURSE OF LABOR IN NULLIPAROUS TERM PREGNANCIES
Gynecology & Obstetrics
Gynecology & Obstetrics
Original Research: Clinical Science
Original Research: Clinical Science
<p><strong> ABSTRACT</strong></p><p> Physiologists have shown that increased fluids improve skeletal muscle performance in prolonged exercise. Typical orders provide for 125 mL of intravenous fluids per hour in patients taking limited oral fluids during labor. Our purpose in this study was to determine whether increased intravenous fluids affect the progress oflabor. In a prospective randomized institutional clinical trial, one-hundred ninety-four nulliparous women with uncomplicated singleton gestations at term in spontaneous active labor with dilatation 2-5 em and a cephalic presentation were selected. 82 were designed to receive 250 mL per hour of intravenous normal saline in dextrose water (first group), and 112 to receive 125 mL per hour of the same solution (2nd or control group).</p><p> Prerandomization variables such as mother's age, weight, previous pregnancy history, general health, sex and weight of the newborn, rupture of the membranes and presenting part were balanced between the two groups.</p><p> The frequency of labor lasting> 10 hours was statistically higher in the 125mL group ([16.7%] vs [7.4%] p< 0.0002).</p><p> This study showed that increasing fluid administration for nulliparous women in labor is associated with a shorter duration of the first stage and possibly less need for augmentation of uterine contraction ( [4.8% vs 6.25%] p= 0.002).Thus dehydration in labor may be a contributing factor for dysfunctional labor and need for cesarean-section, and oxytocin infusion.</p>
Intravenous hydration, Labor, Nulliparous, Term pregnancies.
289
292
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-270&slc_lang=en&sid=1
M.H.
ALAVI
20031947532846002605
20031947532846002605
Yes
Department of Obstetrics and Gynecology, Shahid Akbarabadi Hospital, Iran University ofMedical Sciences, Tehran, J.R.lran.
Z.
TALAIE RAD
20031947532846002606
20031947532846002606
No
Department of Obstetrics and Gynecology, Shahid Akbarabadi Hospital, Iran University ofMedical Sciences, Tehran, J.R.lran.
S.R.
DADGAR
20031947532846002607
20031947532846002607
No
Department of Obstetrics and Gynecology, Shahid Akbarabadi Hospital, Iran University ofMedical Sciences, Tehran, J.R.lran.