Anesthesia
Conditions
Brief summary
We designed a two arms prospective, randomised, simple blinded trial to compare the impact of clear liquid intake on gastric content before delivery. We hypothesize that there will be no difference between the two groups, leading to safety of clear liquid intake during labour.
Detailed description
Gastric emptying is a major concern for anesthetists in obstetric. In order to prevent the risk of gastric aspiration, we are used to forbid to eat and to drink during labour. However, this behaviour is controversial and some studies have shown that clear liquid intake can be safe during labour. Informations from a bedside ultrasound examination of the stomach content may be a useful tool to balance benefits and risks of such attitude. This technique has recently been shown very promising in pregnant women for the assessment of the gastric volume.
Interventions
OTHERApple juice
Intervention consists in allowing drinks during labour
Sponsors
Hopital Foch
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Any pregnant woman at term
Exclusion criteria
* Pathologic pregnancy * Twin pregnancy * Body mass index above 35 kg/m2 before pregnancy * Cervix dilation above 8 cm * Refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of parturients with a full stomach | average of 6 hours | A full stomach is defined by an antral area above 300 mm2 evaluated by ultrasound imaging |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parturient comfort | average of 6 hours | Comfort is evaluated using Labour Agentry Scale |
| Evolution of the antral area | average of 6 hours | Antral area are measured by gastric ultrasonography at the beginning and at the end of labour |
| Anxiety | average of 6 hours | Anxiety is measured by a Visual Analogic Scale |
| Pain intensity | average of 6 hours | Pain is measured by a Visual Analogic Scale |
Countries
France
Outcome results
None listed