Labor
Conditions
Brief summary
Current French guidelines allow oral intake of clear fluid in women in established labor under epidural analgesia. To date, no study assessed how these guidelines are followed in clinical practice. This study aims to assess the current practices as to the fasting during the labor at our institution, while assessing the experience and the expectations of the parturients (level of comfort or discomfort related to fasting).
Interventions
OTHERQuestionnaire to assess of the application of the current French guidelines as to fasting during labor.
Questionnaire focuses on : * oral intake of clear fluid during the labor * oral intake of solid meal during the labor * fasting duration for solid and liquids * instruction received as to fasting during labor, nature of these instructions, and who given the instruction (midwife, nurse anesthetist, …) * discomfort related to thirst during labor * discomfort related to hunger during labor We will also record several medical data as to the course of pregnancy and delivery, analgesia technique, history and characteristics of the parturient.
Sponsors
Hospices Civils de Lyon
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All adult woman who has been in labor in our hospital
Exclusion criteria
* Patient refusal * Elective cesarean section, or emergency cesarean section in a woman not in labor * Intrauterine fetal death * Therapeutic abortion * Patient consent not available (for example, in case of severe post-partum hemorrhage)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of parturients who declared to have ingested clear fluid during the labor. | The survey will be completed within 2 hours following the delivery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Specify the type of liquid ingested (water or sweet liquid) and its volume | The survey will be completed within 2 hours following the delivery | Nature and volume of liquids ingested |
| Specify the frequency of ingestion of solid foods during labor | The survey will be completed within 2 hours following the delivery | Nature and quantity of ingested solids |
| Assess the degree of discomfort associated with thirst that was felt during labor | The survey will be completed within 2 hours following the delivery | Degree of discomfort related to thirst on a simple numeric scale (0: no discomfort at 10: very uncomfortable) |
| Assess the degree of discomfort associated with hunger that was felt during labor | The survey will be completed within 2 hours following the delivery | Degree of discomfort related to hunger on a simple numeric scale (0: no discomfort at 10: very uncomfortable) |
| Determine the instructions given by health professionals, their spontaneous or non-spontaneous character and the information related to the given fast, according to the parturient | The survey will be completed within 2 hours following the delivery | Determine the instructions given by health professionals, whether they are spontaneous or not |
| Determine if nausea and vomiting are more common in women who have ingested fluids during labor | The survey will be completed within 2 hours following the delivery | Incidence of at least one episode of nausea and vomiting during labor |
| Analyze the factors associated with fasting during work and their concordance with the French recommendations on fasting during labor | The survey will be completed within 2 hours following the delivery | Analysis of independent risk factors for the patient's strict fasting during labor |
| Indicate the total duration of fast and solid fasting before birth | The survey will be completed within 2 hours following the delivery | Total duration of liquid fasting and solids preceding birth |
| Compare fasting instructions received by patients and practices reported by professionals | The survey will be completed within 2 hours following the delivery | Fasting instructions received by patients and practices reported by professionals obtained during a practice survey |
| Evaluate women's satisfaction with the fasting instructions received | The survey will be completed within 2 hours following the delivery | Satisfaction with fasting instructions given on a simple numerical scale (0: very high dissatisfaction, 10: maximum satisfaction) |
Countries
France
Outcome results
None listed