Oral Feeding During Established Labor at Our Institution

Study Overview
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Brief Summary
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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).

Official Title
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Oral Feeding During Established Labor. Current Practices in the Obstetric Department of the Femme Mère Enfant Hospital (Lyon, France)

Conditions
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Labor

Intervention / Treatment
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* Other: Questionnaire to assess of the application of the current French guidelines as to fasting during labor.


Participation Criteria
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Eligibility Criteria
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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)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Questionnaire 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.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | Determine the instructions given by health professionals, whether they are spontaneous or not | The survey will be completed within 2 hours following the delivery | 
| Specify the type of liquid ingested (water or sweet liquid) and its volume | Nature and volume of liquids ingested | The survey will be completed within 2 hours following the delivery | 
| Specify the frequency of ingestion of solid foods during labor | Nature and quantity of ingested solids | The survey will be completed within 2 hours following the delivery | 
| Assess the degree of discomfort associated with thirst that was felt during labor | Degree of discomfort related to thirst on a simple numeric scale (0: no discomfort at 10: very uncomfortable) | The survey will be completed within 2 hours following the delivery | 
| Assess the degree of discomfort associated with hunger that was felt during labor | Degree of discomfort related to hunger on a simple numeric scale (0: no discomfort at 10: very uncomfortable) | The survey will be completed within 2 hours following the delivery | 
| Evaluate women's satisfaction with the fasting instructions received | Satisfaction with fasting instructions given on a simple numerical scale (0: very high dissatisfaction, 10: maximum satisfaction) | The survey will be completed within 2 hours following the delivery | 
| Determine if nausea and vomiting are more common in women who have ingested fluids during labor | Incidence of at least one episode of nausea and vomiting during labor | The survey will be completed within 2 hours following the delivery | 
| Analyze the factors associated with fasting during work and their concordance with the French recommendations on fasting during labor | Analysis of independent risk factors for the patient's strict fasting during labor | The survey will be completed within 2 hours following the delivery | 
| Indicate the total duration of fast and solid fasting before birth | Total duration of liquid fasting and solids preceding birth | The survey will be completed within 2 hours following the delivery | 
| Compare fasting instructions received by patients and practices reported by professionals | Fasting instructions received by patients and practices reported by professionals obtained during a practice survey | The survey will be completed within 2 hours following the delivery |