To evaluate the influence of warm IV fluids during delivery and cesarean section on perinatal outcomes.
Prospective randomized controlled trial. Assessing the influence of warmed parenteral fluids during delivery/cesarean section on the obstetrical and neonatal outcome. The investigators will randomize parturients during the active phase of labor to receive either body temperature warmed parenteral fluids or room temperature parenteral fluids. Both groups will receive the same fluid composition of 5% dextrose with normal saline. The investigators will compare the obstetrical and neonatal outcomes of the two groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
7,000
2 study groups shall receive the same parenteral fluids but at different temperatures.
Meir Medical Center
Kfar Saba, Israel
RECRUITINGMeir Medical Center
Kfar Saba, Israel
RECRUITINGLength of the second stage of labor
How much time did it take from complete cervical dilation to the delivery of the baby.
Time frame: up to 5 hours from complete cervical dilation
Prevalence of perineal tears and episiotomies
The prevalence of perineal tears and episiotomies that occurred during vaginal delivery
Time frame: immediately after vaginal birth
Neonatal APGAR score
Comparison of the 1 minute and 5 minute APGAR score that the neonates received, between the groups.
Time frame: up to 5 minutes from delivery
The rate of prolonged second stage
The percentage of patients, in each group, that were defined with a prolonged second stage. The definition is more than 2 hours from complete cervical dilation until delivery of the baby in multipara patients and more than 3 hours from complete cervical dilation until delivery of the baby in nullipara patients.
Time frame: immediately after completion of the delivery.
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