MedPath

Oral Feeding During Established Labor at Our Institution

Completed
Conditions
Labor
Registration Number
NCT03242356
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Current French guidelines allow oral intake of clear fluid in women in established labor under epidural analgesia. To date, no study assessed how these guidelines are followed in clinical practice. This study aims to assess the current practices as to the fasting during the labor at our institution, while assessing the experience and the expectations of the parturients (level of comfort or discomfort related to fasting).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
195
Inclusion Criteria
  • All adult woman who has been in labor in our hospital
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Exclusion Criteria
  • Patient refusal
  • Elective cesarean section, or emergency cesarean section in a woman not in labor
  • Intrauterine fetal death
  • Therapeutic abortion
  • Patient consent not available (for example, in case of severe post-partum hemorrhage)
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rate of parturients who declared to have ingested clear fluid during the labor.The survey will be completed within 2 hours following the delivery
Secondary Outcome Measures
NameTimeMethod
Compare fasting instructions received by patients and practices reported by professionalsThe survey will be completed within 2 hours following the delivery

Fasting instructions received by patients and practices reported by professionals obtained during a practice survey

Specify the frequency of ingestion of solid foods during laborThe survey will be completed within 2 hours following the delivery

Nature and quantity of ingested solids

Assess the degree of discomfort associated with thirst that was felt during laborThe survey will be completed within 2 hours following the delivery

Degree of discomfort related to thirst on a simple numeric scale (0: no discomfort at 10: very uncomfortable)

Analyze the factors associated with fasting during work and their concordance with the French recommendations on fasting during laborThe survey will be completed within 2 hours following the delivery

Analysis of independent risk factors for the patient's strict fasting during labor

Assess the degree of discomfort associated with hunger that was felt during laborThe survey will be completed within 2 hours following the delivery

Degree of discomfort related to hunger on a simple numeric scale (0: no discomfort at 10: very uncomfortable)

Indicate the total duration of fast and solid fasting before birthThe survey will be completed within 2 hours following the delivery

Total duration of liquid fasting and solids preceding birth

Specify the type of liquid ingested (water or sweet liquid) and its volumeThe survey will be completed within 2 hours following the delivery

Nature and volume of liquids ingested

Evaluate women's satisfaction with the fasting instructions receivedThe survey will be completed within 2 hours following the delivery

Satisfaction with fasting instructions given on a simple numerical scale (0: very high dissatisfaction, 10: maximum satisfaction)

Determine the instructions given by health professionals, their spontaneous or non-spontaneous character and the information related to the given fast, according to the parturientThe survey will be completed within 2 hours following the delivery

Determine the instructions given by health professionals, whether they are spontaneous or not

Determine if nausea and vomiting are more common in women who have ingested fluids during laborThe survey will be completed within 2 hours following the delivery

Incidence of at least one episode of nausea and vomiting during labor

Trial Locations

Locations (1)

hopital Femme Mère Enfant

🇫🇷

Bron, France

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