Having seen so much discussion about IV fluids in labour, relationship to
edema of breasts, weight loss in infants, leading to early supplementation,
I wondered if this might be of interest to Lactnetters, just received on an
update I receive:
              ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Increasing the intravenous fluid intake of pregnant women who are in labour
enhances the outcome, according to recent American research.

         Subjects: 195 nulliparous women in normal labour.

         Method: Randomised controlled trial with women receiving either
125ml or 250ml of standard intravenous fluid.

         Results: The higher fluid intake was associated with statistically
significant reduction in the incidence of prolonged labour (frequency of
labor lasting >12 hours = 13% vs 26%, P<0.05) and a non-statistically
significant reduction in labour duration (total and first stage) and
requirement for oxytocin infusion (all measures p =0.06).

         Reference: Am J Obstet Gynecol 2000;183:1544-1548


Pamela Morrison IBCLC, Zimbabwe

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