Comparing orange or apple juice to water during labour in women with mild gestational diabetes

Carbohydrate containing beverage compared to water during labour in women with gestational diabetes mellitus: A randomised controlled trial

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN88883233

Enrollment

128

Registered

2023-03-06

Start date

2023-03-13

Completion date

Unknown

Last updated

2023-03-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Labouring women with gestational diabetes mellitus on diet control only Pregnancy and Childbirth

Interventions

Participants will be randomised to water or carbohydrate beverages (orange or apple juice) as oral fluids during their labour. Method of randomization Randomization is

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: 1. Gestational diabetes mellitus on diet control only (GDMA1) 2. In active labour (cervical dilatation 3cm and contraction 3 in 10 minutes) 3. Term (gestational age 37 weeks) 4. Aged 18 years old and over 5. Single baby 6. Baby is in head down position (cephalic presentation) 7. Baby’s condition (cardiotocograph) is reassuring

Exclusion criteria

Exclusion criteria: 1. On antiglycaemic drug for diabetes mellitus 2. BMI > 40 3. Preeclampsia 4. Known major fetal malformations 5. Evidence of chorioamnionitis or other maternal infection 6. Medical instruction forbidding oral intake 7. Contraindication for vaginal birth

Design outcomes

Primary

Measure	Time frame
Umbilical cord arterial blood pH value measured using hospital electronic medical records at hospital discharge	—

Secondary

Measure	Time frame
Neonatal outcome (measured using hospital electronic medical records at hospital discharge): 1. Umbilical cord arterial blood base excess 2. APGAR score at 1 minute and 5 minutes 3. Newborn blood sugar within 4 hours of birth 4. Birth weight 5. Neonatal admission (and indication) 6. Neonatal hypoglycemia (clinical diagnosis) 7. Birth trauma 8. Hypoxic-ischemic encephalopathy 9. Sepsis Maternal outcome (measured using hospital electronic medical records at hospital discharge): 1. Intrapartum capillary blood glucose 2. Use of insulin infusion in labour 3. Vomiting in labour 4. Epidural analgesia in labour 5. Time to delivery 6. Mode of delivery 7. Perineal injury 8. Estimated blood loss 9. Intensive care unit admission	—

Measure

Time frame

Neonatal outcome (measured using hospital electronic medical records at hospital discharge): 1. Umbilical cord arterial blood base excess 2. APGAR score at 1 minute and 5 minutes 3. Newborn blood sugar within 4 hours of birth 4. Birth weight 5. Neonatal admission (and indication) 6. Neonatal hypoglycemia (clinical diagnosis) 7. Birth trauma 8. Hypoxic-ischemic encephalopathy 9. Sepsis Maternal outcome (measured using hospital electronic medical records at hospital discharge): 1. Intrapartum capillary blood glucose 2. Use of insulin infusion in labour 3. Vomiting in labour 4. Epidural analgesia in labour 5. Time to delivery 6. Mode of delivery 7. Perineal injury 8. Estimated blood loss 9. Intensive care unit admission

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Countries

Malaysia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026