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

NCT06547177 | Completed

• 1 other identifier: fluid intake in labor
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Labor Pain; Nutrient Intake; Fluid Therapy

Keywords

Labor; nutrition; fluid; labor pain; maternal outcome; fetal outcome

Outcome Measures

Primary Outcomes (3)

• Maternal outcome

  During the research, duration of the latent and active phase of labor will be recorded.

  The duration of the labor will measured from the latent phase of labor to birth.

• Maternal pain outcome

  A visual analogue scale (VAS) was used to measure the levels of labor pain. VAS scores will be recorded from the latent phase of labor to birth.The VAS was a 0 to 100 mm line (from no pain to worst imaginable pain). Over 60 mm on the VAS indicates severe pain, moderate pain ranges from 40 - 60 mm and mild pain is under 40 mm. The higher scores implied the higher level of pain.

  The study will be conducted from the latent phase of labor to birth.

• fetal outcomes

  The Apgar score is a standardized assessment of a neonate's status immediately after birth and the response to resuscitation efforts and remains the gold standard for evaluating neonates.

  APGAR scores will be recorded after birth.

Study Arms (3)

control

NO INTERVENTION

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

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)

Other: fruit juice

Water group

EXPERIMENTAL

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).

Other: fruit juice

Interventions

fruit juice OTHER

During labor, one group will follow the routine while the water group will only take water and fruit juice group will take water and fruit juice.

Also known as: water

Fruit juice and water group; Water group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

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

You may not qualify if:

• 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

Sponsors & Collaborators

• Hilal Yuvacı: lead

Study Sites (1)

Sakarya University School of Medicine

Sakarya, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Labor Pain

Interventions

Fruit and Vegetable Juices; Water

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Beverages; Diet, Food, and Nutrition; Physiological Phenomena; Food and Beverages; Hydroxides; Alkalies; Inorganic Chemicals; Anions; Ions; Electrolytes; Oxides; Oxygen Compounds

Study Officials

• Hilal Uslu Yuvacı

  Sakarya University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assoc. Prof. Dr.

Study Record Dates

• First Submitted: December 20, 2022
• First Posted: August 9, 2024
• Study Start: March 22, 2022
• Primary Completion: April 15, 2023
• Study Completion: January 20, 2024
• Last Updated: August 19, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)