The Effect of Nutrition and Fluid Intake in the First Stage of Labor

Hilal Yuvacı

Status: Completed

Conditions: Labor Pain; Fluid Therapy; Nutrient Intake

Treatments: Other: fruit juice

Study type: Interventional

Funder types: Other

Identifiers

NCT06547177

fluid intake in labor

Details and patient eligibility

About

Birth is a process that requires large amounts of energy. As a result of skeletal and smooth muscle contractions at birth, the body's basal metabolic rate, energy requirement, hydration requirement, and insensible fluid loss are significantly increased. Information regarding the safety and effectiveness of increased hydration during labor is still controversial. There is no consensus on whether this hydration should be given with intravenous solutions or orally. The study aims to determine the effect of fluid intake in labor on the delivery process, maternal-fetal outcomes, and postpartum satisfaction of the mother.

Full description

Method of Study: The study was planned as a randomized controlled experimental study to evaluate the effect of fluid intake during labor on mothers and babies.

Location and Characteristics of the Research: The research will be conducted in the delivery room of Sakarya Training and Research Hospital.

Population and Sample of the Study: The research will consist of pregnant women who apply to Sakarya Training and Research Hospital with signs of the onset of labor and will have an expected vaginal delivery in the delivery room. Annually, 7000-8000 women give birth in the hospital, and approximately 50% have an expected vaginal delivery. All pregnant women who met the sampling criteria and volunteered to participate in the study during the study's implementation will be included. The research will be carried out in 3 groups experimental and control groups. The study will be conducted with a total of 90 pregnant women, 30 of whom are in each group.

Enrollment: 90 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Volunteer to participate in the research
• Agreeing to abide by the protocol
• Being able to read and write,
• Ages 18-35 years
• 37-40 Pregnancy weeks
• First pregnancy,
• Single fetus
• BMI ≤ 28,
• Head presentation
• Cervical dilatation of <6 cm or less (latent phase)
• Height ≥ 1.50 cm

Exclusion criteria

• Communication barriers (speech, hearing, mental),
• Disability (physical or mental problem, drug use),
• Chronic diseases (hypertension, diabetes, etc),
• Gastrointestinal problems before and during pregnancy
• Comply with the fluid intake protocol during labor,
• Pregnant women who are scheduled for elective cesarean section
• Pregnant women considered to be at immediate cesarean risks, such as diabetic pregnant women with cephalopelvic incompatibility, multiple pregnancies, preeclampsia, and macrosomic fetus

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

90 participants in 3 patient groups

control

No Intervention group

Description:

Pregnant women in the study's control group will not be subjected to any application other than routine hospital practices. They will not consume oral liquid or solid food, and their fluid needs will be met with 125 ml/hour of intravenous(iv) fluid (5% dextrose).

Fruit juice and water group

Experimental group

Description:

Fruit juice (100 ml juice once in the first hour of admission to the delivery room during the latent phase) = (cherry/apple juice, 100 ml, 50-54 kcal), then every 4 hours. It will be given in 100 ml. In addition, they will be allowed to take small amounts of water. (Total fluid intake will be recorded)

Treatment:

Other: fruit juice

Water group

Experimental group

Description:

Water (as much as desired in 100 ml containers during the latent phase) (total water amount will be recorded). Pregnant women in all groups will not take oral fluids after transitioning to the active phase (\> 6 cm cervical dilatation).

Treatment:

Other: fruit juice