Effect of Carbohydrate Ingestion During Active Labor
Conditions
Brief summary
Women in active labor will be given energy gel at 45-60 minute intervals and their fatigue level will be compared to women receiving usual practice care i.e. clear liquids only.
Interventions
DIETARY_SUPPLEMENTenergy gel
energy gel: gelatinous edible containing carbohydrates typically used during endurance races
Sponsors
Melissa March
Alison Bauer
Gaetan Pettigrew
Daisy Hassani
Celina Cunanan
University Hospitals Cleveland Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients must be 18 years or older as well as willing and able to provide informed consent * Patients with BMI \< 35 kg/m\^2 * Gestational age \>37 weeks
Exclusion criteria
* \- Patients younger than 18 years, * Patients unable or unwilling to provide informed consent, * Patients who are illiterate, * Patients who are non-English speaking or reading, * Patients who are University Hospital employees, * Patients undergoing induction of labor for maternal or fetal indications other than elective induction after 39 weeks or induction for post-term pregnancy * Multi-fetal gestations (\>1 intrauterine pregnancy), * Patients with a history of GI disorders such as hyperemesis gravidarum, inflammatory bowel disease or irritable bowel syndrome * Patients with an increased risk of aspiration such as BMI \>35 kg/m\^2, severe GERD, gastroesophageal motility disorders, * Patients with acute or chronic platelet dysfunction (e.g.: idiopathic thrombocytopenic purpura, HELLP syndrome) which may necessitate need for general anesthetic for Cesarean delivery * Patients with history of peptic ulcer disease, * Patients who have a contraindication to epidural placement and would require general anesthestetic in event of Cesarean delivery * Patients with suspected or proven placenta accreta, increta or percreta, * Patients with excessive nausea or vomiting during labor * Patients with a history of food allergies or allergies to specific components found in the energy gel.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fatigue | every 2 hours until delivery | evaluated by visual analog scale |
| duration of labor | from start of active phase until delivery | will measure time to delivery and duration of 2nd stage of labor |
Outcome results
None listed