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Effect of semisolid food on energy supplement in parturients undergoing epidural labor analgesia / 中华麻醉学杂志
Chinese Journal of Anesthesiology ; (12): 855-858, 2020.
Article in Chinese | WPRIM | ID: wpr-869944
ABSTRACT

Objective:

To evaluate the effect of the semisolid food on the energy supplement in the parturients undergoing epidural labor analgesia.

Methods:

Ninety parturients requesting epidural labor analgesia with no pregnancy complications, at 38-41 week gestation, aged 20-35 yr, with body mass index of 19-30 kg/m 2, were divided into 3 groups ( n=30 each) using a random number table

method:

sports drink group (group A), millet gruel group (group B) and semisolid food group (group C). After admission to the hospital, different types of food were given on an empty stomach after drinking 300 ml of water, before labor analgesia and 1 h of labor analgesia, and the gastric emptying time (GET) was measured by the ultrasound assessment of gastric antrum.In the late stage of labor analgesia, patients drank different types of food as needed until the end of the third stage of labor.Visual analogue scale score was used to evaluate the maternal starvation, thirst and fatigue immediately after the end of the third stage of labor.The duration of labor, total amount of diet, energy supply per unit time, forceps-assisted vaginal delivery, pressing times of patient-controlled analgesia, occurrence of nausea and vomiting during labor, and volume of postpartum hemorrhage were recorded.

Results:

GET was significantly longer after labor analgesia than before labor analgesia in the three groups ( P<0.05). Compared with group A, GET was significantly prolonged after labor analgesia, scores for starvation and fatigue and total amount of diet were decreased, and the energy supply per unit time was increased in group B and group C, and the incidence of nausea and vomiting was significantly increased in group B and decreased in group C ( P<0.05). Compared with group B, GET was significantly shortened after labor analgesia, scores for fatigue were decreased, the energy supply per unit time was increased, and the incidence of vomiting was decreased in group C ( P<0.05). There were no statistically significant differences among the three groups in scores for thirst, duration of labor, incidence of forceps-assisted vaginal delivery, volume of postpartum hemorrhage, and pressing times of patient-controlled analgesia ( P>0.05).

Conclusion:

Compared with sports drinks and millet gruel, semi-solid food is more effective in supplementing energy for the parturients undergoing epidural labor analgesia.
Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Anesthesiology Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Anesthesiology Year: 2020 Type: Article