Women's view on fasting during labor in a tertiary care obstetric unit. A prospective cohort study
| Autor: | Dominique Chassard, Julie Garrigue, François-Pierrick Desgranges, Gery Lamblin, Federica Piana, Lionel Bouvet |
|---|---|
| Přispěvatelé: | Agressions Pulmonaires et Circulatoires dans le Sepsis - UR (APCSé), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS) |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
[SDV]Life Sciences [q-bio] Intrapartum care Statistical difference Maternal satisfaction Personal Satisfaction Tertiary care Thirst 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study 030219 obstetrics & reproductive medicine Labor Obstetric Clear fluids Obstetrics business.industry Tertiary Healthcare Obstetrics and Gynecology Fasting Reproductive Medicine Normal birth Female medicine.symptom business |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology European Journal of Obstetrics & Gynecology and Reproductive Biology, Elsevier, 2020, 253, pp.25-30. ⟨10.1016/j.ejogrb.2020.07.041⟩ |
| ISSN: | 1872-7654 0301-2115 |
| DOI: | 10.1016/j.ejogrb.2020.07.041⟩ |
| Popis: | Objective Maternal satisfaction and comfort may in part depend on fasting instruction given during labor. This study aimed to assess the satisfaction and the wishes of parturients with regards to fasting during labor. Study Design This prospective cohort study was conducted among parturients assessing the fasting instructions they were given. We assessed whether women did have any oral intake during labor and focused on women’s view of fasting during labor. Maternal discomfort related to thirst and hunger was assessed using 0–10 scales. Results A total of 193 women were included, among whom 71 (37 %) received spontaneously given instructions and 60 (31 %) received instruction upon request. One hundred sixteen (60 %) women were allowed to drink clear fluids, in a limited way for 106 women (91 % of those concerned); 119 women did drink clear fluids during labor. One hundred thirty-two (68 %) women had a thirst-related discomfort score ≥ 4 without any statistical difference whether they had or had not drunk clear fluids. Colder water, unrestricted volume of water and sweet drink were desired by 74 (64 %), 38 (33 %) and 28 (24 %) women who had been allowed to drink, respectively. Conclusion These results emphasize that thirst contributes to maternal discomfort during labor. Permitting limited intake of water does not ensure high maternal satisfaction. Fresh clear fluids, unrestricted amounts of fluids and sweet fluids could contribute to improve maternal comfort. |
| Databáze: | OpenAIRE |
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