A comparative study on the effect of intravenous Ringer lactate at 125 ml/hour versus 250 ml/hour on the duration of labour in nulliparous pregnant women

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dc.contributor.authorMittal, Shivikaen_US
dc.contributor.authorGupta, Amiten_US
dc.contributor.authorSharma, Chanderdeepen_US
dc.contributor.authorDhatwalia, Prashanten_US
dc.contributor.authorMittal, Ritaen_US
dc.date.accessioned2024-09-24T09:01:15Z
dc.date.available2024-09-24T09:01:15Z
dc.date.issued2023-03
dc.description.abstractBackground: Several factors may influence the progression of normal labour. It has been postulated that the routine administration of intravenous fluids to keep women adequately hydrated during labour may reduce the period of contraction and relaxation of the uterine muscle, and may ultimately reduce the duration of the labour. However, the routine administration of intravenous fluids to labouring women has not been adequately studied although it is widely practiced, and there is no consensus on the type or volume of fluids that are required, or indeed, whether intravenous fluids are at all necessary. This study was conducted to study the effect of intravenous Ringer lactate at 125 ml/hour versus 250 ml/hour on the duration of labour.Methods: In the study, patients were divided in two groups of nulliparous pregnant women in spontaneous early labour (between 3-5 cm dilatation), at term with singleton pregnancy and cephalic presentation, where one group received intravenous Ringer lactate at 125 ml/hour and the other group received Ringer lactate at 250 ml/hour. The duration of labour, mode of delivery and caesarean rates were measured in both groups along with incidence of prolonged labour and need for oxytocin augmentation.Results: The incidence of prolonged labour and oxytocin augmentation were less in the group receiving intravenous RL at 250 ml/hour but was not statistically significant. Remaining outcomes were comparable in both the groups with no outcome reaching statistical significance.Conclusions: Rate of fluid administration is one of the many variables which affects the labour outcomes. The incidence of prolonged labour and oxytocin augmentation was less in the group which received intravenous RL 250 ml/hour. There was no statistically significant difference in both groups in respect of duration of labour, mode of delivery and caesarean rates.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Deendyal Upadhyay Zonal Hospital, Shimla, Himachal Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Dr. Rajendra Prasad Government Medical College, Tanda at Kangra, Himachal Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, AIIMS Bilaspur, Himachal Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, IGMC, Shimla, Himachal Pradesh, Indiaen_US
dc.identifier.citationMittal Shivika, Gupta Amit, Sharma Chanderdeep, Dhatwalia Prashant, Mittal Rita . A comparative study on the effect of intravenous Ringer lactate at 125 ml/hour versus 250 ml/hour on the duration of labour in nulliparous pregnant women . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Mar; 12(3): 711-715en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/231792
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20230543en_US
dc.subjectCaesareanen_US
dc.subjectIntravenousen_US
dc.subjectLabouren_US
dc.subjectMaternal hydrationen_US
dc.subjectRLen_US
dc.titleA comparative study on the effect of intravenous Ringer lactate at 125 ml/hour versus 250 ml/hour on the duration of labour in nulliparous pregnant womenen_US
dc.typeJournal Articleen_US
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