The effect of unrestricted oral carbohydrate intake on labor progress

J Obstet Gynecol Neonatal Nurs. May-Jun 2005;34(3):319-28. doi: 10.1177/0884217505276155.

Abstract

Objective: To determine if unrestricted oral carbohydrate intake during labor reduced the incidence of dystocia in low-risk nulliparous women.

Design and setting: A randomized clinical trial at a university-affiliated hospital in southeastern Ontario. Low-risk nulliparous women were randomized between 30 and 40 weeks gestation to either an intervention or usual care group.

Intervention: Women in the intervention group received, prenatally, guidelines about food and fluid intake during labor and were encouraged to eat and drink as they pleased during labor. Women in the usual care group received no prelabor information and were restricted to ice chips and water during labor in the hospital.

Main outcome measure: The incidence of dystocia, defined as a cervical dilatation rate of less than 0.5 cm/hr for a period of 4 hrs after a cervical dilatation of 3 cm.

Results: Three hundred twenty-eight women were randomized to the intervention (n = 163) or usual care (n = 165) groups. Women in the intervention group reported a significantly different pattern of oral intake during early labor in the hospital (chi(2) = 40.7, p < .001). The incidence of dystocia was 36% (n = 58) in the intervention group and 44% (n = 72) in the usual care group and was not significantly different (OR = 0.71, 95% CI = 0.46, 1.11). There were no significant differences in the other secondary outcomes or in the incidence of adverse maternal or neonatal complications.

Conclusion: Eating and drinking early in labor had no significant impact on the incidence of dystocia and/or adverse maternal or neonatal outcomes.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Confidence Intervals
  • Dietary Carbohydrates / administration & dosage*
  • Dietary Carbohydrates / metabolism
  • Dystocia / epidemiology
  • Dystocia / nursing
  • Dystocia / prevention & control*
  • Female
  • Humans
  • Infant, Newborn
  • Labor, Obstetric / metabolism*
  • Obstetric Nursing / standards*
  • Odds Ratio
  • Ontario / epidemiology
  • Pregnancy
  • Pregnancy Outcome / epidemiology*
  • Prenatal Nutritional Physiological Phenomena*
  • Time Factors

Substances

  • Dietary Carbohydrates