The effect of increased intravenous fluid intake on the course and outcome of labor in nulliparous women in Dr. Shariati Hospital, Bandar Abbas-2003

AUTHORS

Fatemeh Dabiri 1 , * , Sedigheh Amir Aliakbari 2 , Seyedeh Zahra Bakhshoori 3 , Hamid Alavi Majd 4

1 Midwife, Department of Obstetric & Gynecology, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 Instructor, Departments of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Assistant professor, Department of Obstetric & Gynecology, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

4 Assistant professor, Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

How to Cite: Dabiri F, Amir Aliakbari S, Bakhshoori S Z, Alavi Majd H. The effect of increased intravenous fluid intake on the course and outcome of labor in nulliparous women in Dr. Shariati Hospital, Bandar Abbas-2003, Hormozgan Med J. 2005 ; 9(1):e90291.

ARTICLE INFORMATION

Hormozgan Medical Journal: 9 (1); e90291
Published Online: June 06, 2005
Article Type: Research Article
Received: August 28, 2004
Accepted: June 06, 2005

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Abstract

Introduction: Factors that affect the progress of labor have been studied
extensively in an effort to improve labor progress. One variable that has been
studied minimally, is the effect of adequate maternal hydration. This study aimed
to determine the effect of increased intravenous fluid on the course of labor in
nulliparous women in Bandar Abbas Dr. Shariati hospital in 2003.
Methods: In this clinical trial study, the researcher infused three doses of
intravenous fluids (60-120 and 240 cc/hr) in labor to compare the length of three
stages of labor, Apgar scores of newborns, and the kind of delivery in three
randomly selected groups. The number of the samples was 35 persons in each
group (totally 105 persons) and they received randomly I.V fluids 60 or 120 and
240 cc/hr. The ordered fluids in the three groups were ringer solution.
Information was gathered by methods of observation and completing the
questionnaires.
Results: The result of this study indicated that the average of first stage of labor
length time in fluid receiver group (240 cc/hr) was 78 minutes less than group of
60 cc/hr. From the view point of statistics, this difference was significant
(p=0.009) and first stage length time in receiver group of 240 cc/hr was 53
minutes less than group of 120 cc/hr and this difference was not significant
(p>0.05) but the length time of second and third stage of labor among three
groups has no significant difference. Furthermore, Apgar scores and type of
delivery in three groups were similar.
Conclusion: It can be concluded that dose of 240 cc/hr during labor is more
desirable and has better effects than current dose in order to reduce the time of
first stage of delivery and had better effects than current dose in order to reduce
the time of first stage of delivery.

Keywords

Labor – Pregnancy outcome – Fluid Therapy

© 2005, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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