Clinical trial NCT03242356: Oral Feeding During Established Labor at Our Institution
Official title: Oral Feeding During Established Labor. Current Practices in the Obstetric Department of the Femme Mère Enfant Hospital (Lyon, France)
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Labor
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2017-08-08
Enrollment: 195
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All adult women who were in labor in our hospital interviewed within 2 hours after vaginal delivery or cesarean section decided during the labor

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).


Eligibility criteria: 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)

Primary outcomes:
measure: Rate of parturients who declared to have ingested clear fluid during the labor.
timeFrame: The survey will be completed within 2 hours following the delivery
Secondary outcomes:
measure: 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
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Specify the type of liquid ingested (water or sweet liquid) and its volume
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Specify the frequency of ingestion of solid foods during labor
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Assess the degree of discomfort associated with thirst that was felt during labor
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Assess the degree of discomfort associated with hunger that was felt during labor
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Evaluate women's satisfaction with the fasting instructions received
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Determine if nausea and vomiting are more common in women who have ingested fluids during labor
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Analyze the factors associated with fasting during work and their concordance with the French recommendations on fasting during labor
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Indicate the total duration of fast and solid fasting before birth
timeFrame: The survey will be completed within 2 hours following the delivery
measure: Compare fasting instructions received by patients and practices reported by professionals
timeFrame: The survey will be completed within 2 hours following the delivery
Other outcomes:
Locations:
city: Bron
country: France
facility: hopital Femme Mère Enfant
Study officials:
References: