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We designed a two arms prospective, randomised, simple blinded trial to compare the impact of clear liquid intake on gastric content before delivery. We hypothesize that there will be no difference between the two groups, leading to safety of clear liquid intake during labour.
Gastric emptying is a major concern for anesthetists in obstetric. In order to prevent the risk of gastric aspiration, we are used to forbid to eat and to drink during labour.
However, this behaviour is controversial and some studies have shown that clear liquid intake can be safe during labour. Informations from a bedside ultrasound examination of the stomach content may be a useful tool to balance benefits and risks of such attitude. This technique has recently been shown very promising in pregnant women for the assessment of the gastric volume.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Apple juice | Active Comparator | Patient are allowed to drink up to 400 ml of apple juice |
|
| Control | No Intervention | Patient are not allowed to drink |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Apple juice | Other | Intervention consists in allowing drinks during labour |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of parturients with a full stomach | A full stomach is defined by an antral area above 300 mm2 evaluated by ultrasound imaging | average of 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Parturient comfort | Comfort is evaluated using Labour Agentry Scale | average of 6 hours |
| Evolution of the antral area | Antral area are measured by gastric ultrasonography at the beginning and at the end of labour |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Foch | Suresnes | Hauts-de-Seine | 92151 | France | ||
| CHI Andre Gregoire |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32769506 | Derived | Rousset J, Clariot S, Tounou F, Burey J, Hafiani EM, Feliot E, Quesnel C, Bonnet F, Fischler M. Oral fluid intake during the first stage of labour: A randomised trial. Eur J Anaesthesiol. 2020 Sep;37(9):810-817. doi: 10.1097/EJA.0000000000001278. |
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| average of 6 hours |
| Anxiety | Anxiety is measured by a Visual Analogic Scale | average of 6 hours |
| Pain intensity | Pain is measured by a Visual Analogic Scale | average of 6 hours |
| Montreuil |
| 93100 |
| France |
| Tenon | Paris | Île-de-France Region | 75020 | France |