A multi-center randomized trial of two different intravenous fluids during labor.
Publication/Presentation Date
1-1-2016
Abstract
OBJECTIVE: To determine if the intrapartum use of a 5% glucose-containing intravenous solution decreases the chance of a cesarean delivery for women presenting in active labor.
METHODS: This was a multi-center, prospective, single (patient) blind, randomized study design implemented at four obstetric residency programs in Pennsylvania. Singleton, term, consenting women presenting in active spontaneous labor with a cervical dilation ofRinger's with or without 5% glucose (LR versus D5LR) as their maintenance intravenous fluid. The primary outcome was the cesarean birth rate. Secondary outcomes included labor characteristics, as well as maternal or neonatal complications.
RESULTS: There were 309 women analyzed. Demographic variables and admitting cervical dilation were similar among study groups. There was no significant difference in the cesarean delivery rate for the D5LR group (23/153 or 15.0%) versus the LR arm (18/156 or 11.5%), [RR (95% CI) of 1.32 (0.75, 2.35), p = 0.34]. There were no differences in augmentation rates or intrapartum complications.
CONCLUSIONS: The use of intravenous fluid containing 5% dextrose does not lower the chance of cesarean delivery for women admitted in active labor.
Volume
29
Issue
2
First Page
191
Last Page
196
ISSN
1476-4954
Published In/Presented At
Dapuzzo-Argiriou, L. M., Smulian, J. C., Rochon, M. L., Galdi, L., Kissling, J. M., Schnatz, P. F., & ... Legro, R. S. (2016). A multi-center randomized trial of two different intravenous fluids during labor. The Journal Of Maternal-Fetal & Neonatal Medicine: The Official Journal Of The European Association Of Perinatal Medicine, The Federation Of Asia And Oceania Perinatal Societies, The International Society Of Perinatal Obstetricians, 29(2), 191-196. doi:10.3109/14767058.2014.998190.
Disciplines
Obstetrics and Gynecology
PubMedID
25758624
Department(s)
Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty
Document Type
Article