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Metas de Enfermería

Metas de Enfermería

JULIO 2023 N° 6 Volumen 26

Obstetric and neonatal results associated with intrapartum hydration for women with low-risk labour

Section: Originals

How to quote

Hernández-López AB, Muriel-Miguel C, Pérez-Medina T, Fernández-Cañadas Morillo A, López-Lapeyrere C, Salcedo-Mariña A, et al. Resultados obstétricos y neonatales relacionados con la hidratación intraparto en mujeres atendidas de parto de bajo riesgo. Metas Enferm jul/ago 2023; 26(6):15-23. Doi: https://doi.org/10.35667/MetasEnf.2023.26.1003082122

Authors

Ana Belén Hernández-López1, Cristina Muriel-Miguel2, Tirso Pérez-Medina3, Aurora Fernández-Cañadas Morillo1, Carolina López-Lapeyrere4, Ángel Salcedo-Mariña5, Inocencia Fornet-Ruiz6, Esther Rubio-González7, Ana Royuela-Vicente8, Montserrat Solís-Muñoz9

Position

1Doctora. Enfermera Obstétrico-Ginecológica. Servicio de Obstetricia y Ginecología. Hospital Universitario Puerta de Hierro Majadahonda (HUPHM). Instituto de Investigación Sanitaria Puerta de Hierro Segovia de Arana (IDIPHISA). Madrid (España)2Máster. Enfermera Obstétrico-Ginecológica. Servicio de Obstetricia y Ginecología. HUPHM. Madrid (España)3Catedrático. Facultad de Medicina. Universidad Autónoma de Madrid. Servicio de Obstetricia y Ginecología. HUPHM. IDIPHISA. Madrid (España)4Enfermera Obstétrico-Ginecológica. Centro de Salud Valle de la Oliva. Majadahonda, Madrid (España)5Facultativo Especialista Servicio Obstetricia y Ginecología. HUPHM. Madrid (España)6Doctora. Facultativo Especialista Servicio Anestesia. HUPHM. IDIPHISA. Madrid (España)7Facultativo Especialista Servicio Nefrología. HUPHM. Madrid (España)8Doctora. Biostadística. IDIPHISA. Madrid (España). CIBER Epidemiología y Salud Pública (CIBERESP). 9Doctora. Unidad de Investigación, Desarrollo e Innovación. HUPHM. IDIPHISA. Madrid (España)

Contact address

Ana Belén Hernández-López. Supervisora de Gestión de casos. Hospital Universitario Puerta de Hierro Majadahonda. C/ Joaquín Rodrigo, 2. 28222 Majadaho

Contact email: anabelen.hernandez2@salud.madrid.org

Abstract

Objective: to determine the influence of intrapartum hydration on obstetric and neonatal results in nulliparous women during low-risk labour.
Methods: an observational prospective study was conducted at the Hospital Universitario Puerta de Hierro Majadahonda (Madrid, Spain). The study included nulliparous women with single pregnancy and low-risk labour. Maternal variables were collected (sociodemographic, clinical signs at admission, intrapartum and immediately post-partum, obstetric results) as well as neonatal variables (data at birth, at 24 and 48 hours). Descriptive and univariate analysis was conducted with the relevant statistic tests. The influence of hydration was assessed in obstetric and neonatal results, determining a cut-off point for the hydration received intrapartum (median total volume administered per hour: 300 mL/h).
Results: the study included 148 women, with a mean age (SD) of 32 (4.4) years, and a mean gestational age (SD) of 39 (1.4) weeks. At admission, mean dilation was of 2 cm. There was induced labour in 65.5% of cases (n= 97). Obstetric and neonatal results were more favourable in those women who received a higher volume (? 300 mL/h), with significant differences in the total duration of labour (median 526 vs. 735 min; p< 0.001), incidence of Caesarean births (14.3% vs. 18.7%), fever (5.5% vs. 7.7%), incidence of neonatal weight loss >7% at 48 hours (28.6% vs. 39.8%), breastfeeding (94.6% vs. 82.4%).
Conclusions: administration of a higher volume of fluids to nulliparous women during low-risk labour was associated with better obstetric and neonatal results.

Keywords:

Hydration; labor; intrapartum care; midwife; newborn; obstetric results

Versión en Español

Título:

Resultados obstétricos y neonatales relacionados con la hidratación intraparto en mujeres atendidas de parto de bajo riesgo

Artículo completo no disponible en este idioma / Full article is not available in this language

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