Oral Feeding During Established Labor at Our Institution

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

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).

Study Overview

• Status: Completed
• Conditions: Labor
• Intervention / Treatment: Other: Questionnaire to assess of the application of the current French guidelines as to fasting during labor.

• Study Type: Observational
• Enrollment (Actual): 195

Contacts and Locations

Study Locations

• France
  • Bron, France, 69677
    • Hopital Femme Mere Enfant

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• 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

Description

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)

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome 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 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

Collaborators and Investigators

• Sponsor: Hospices Civils de Lyon

Study record dates

Study Major Dates

• Study Start (Actual): August 25, 2017
• Primary Completion (Actual): November 25, 2017
• Study Completion (Actual): November 25, 2017

Study Registration Dates

• First Submitted: August 4, 2017
• First Submitted That Met QC Criteria: August 7, 2017
• First Posted (Actual): August 8, 2017

Study Record Updates

• Last Update Posted (Actual): April 13, 2018
• Last Update Submitted That Met QC Criteria: April 12, 2018
• Last Verified: August 1, 2017

More Information

Terms related to this study

• Other Study ID Numbers: 69HCL17_0454

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No