The Effect Ofintravenous Fluidsinfusion on The Progress of Labour And Newborn Outcome
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
Intravenous fluids instead of oral hydration is universal practice in labour. Sufficient rehydration has shown a lessening in labour durationand improve newborn outcome. However results of other studies anticipated that labour duration could be decreased by administering IV fluids at a rate of 120 ml/hr.Aim: Thus, the aim of the current study was to assess the effect of intravenous fluids infusion on the progress of labour and newborn outcome.Design: A descriptive correlationdesign.Setting: The study was conducted at the delivery room and postpartum outpatient clinic in General Hospital, Kafrelshiekh, Egypt. Sample: A convenient sample of 150 labouring women (divided to 50 each group) was selected. Tools:Maternal assessment tool, maternal fluid balance chart,Apgar score tool and newborn follow up sheet were used to collect the data.Results: The current study revealed that the duration of the active phase in the 1st stage of labour was significantly shorter in the glucose alternating with saline group than in the normal saline alone group and the glucose alone group (226.9 ±63.6, 309.9 ±69.7 and 370.3 ±71.8 minutes respectively, p<0.001). Similarly, The duration of the 2nd stage of labour in the glucose alternating with saline group was 85.1 ±42.0 minutes while the duration were longer in the glucose alone group (95.1 ±38.0 minutes) and the normal saline alone group (116.7 ±44.3 minutes). These differences were significant (p<0.001). The newborn weightdid not differ significantly by the fluid received. Additionally, majority 92% of the newborns in glucose alternating with saline group were started breast feeding within 1 hour after delivery compared to about three quarter 76% and 74% of the newborns in normal saline alone and glucose alone groups respectively. Also, Apgar score at 1 and 5 minutes after birth, were significantly greater in the glucose alternating with saline group than in the normal saline alone and the glucose alone groups.These differences were significant (p<0.05&p<0.001). Conclusion: A significant difference between time of active phase and type of fluid received through labour and enhances the newborns Apgar score and initiate of breast feeding early. The newborn weight did not differ significantly by the fluid received. Recommendation:Further studies with larger sample sizes, more outcome and different IV fluids concentration is required to determine the exact effect of them.
Authors and Affiliations
Halaabd El Fattah Ali, Rehab Abd El Aziz El Sayedabd El Aziz
Keywords
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