abstract physiologists have shown that increased fluids improve skeletal muscle performance in prolonged exercise. typical orders provide for 125 ml of intravenous fluids per hour in patients taking limited oral fluids during labor. our purpose in this study was to determine whether increased intravenous fluids affect the progress oflabor. in a prospective randomized institutional clinical tria...

It may, depending on the stage of labor and whether the woman has given birth previously. routine amniotomy doesn’t significantly reduce the duration of first-stage labor in either primiparous or multiparous women (strength of recommendation [sOr]: A, systematic review of several randomized, controlled trials [rCTs]); it slightly shortens secondstage labor in primiparous women only (sOr: A, sys...

Background: Pethidine is used for pain relief in the first stage of labour in many countries, and it is accepted as standard obstetric management in Turkey. This study is conducted to determine the effect of analgesics that are administered to mothers intramuscularly at the first stage of the labor on health state of the infants. Methods: This cross-sectional controlled study was conducted betw...

BACKGROUND The effect of epidural analgesia on nulliparous labor and delivery remains controversial. In addition, pregnancy and delivery have long been considered risk factors in the genesis of stress urinary incontinence (SUI). We sought to determine the effect of epidural analgesia and timing of administration on labor course and postpartum SUI. METHODS Five hundred and eighty three nullipa...

BACKGROUND Rates of cesarean section increase worldwide, and the components of this increase are partially unknown. A strong role is prescribed to dystocia, and at the same time, the diagnosis of dystocia is highly subjective. Previous studies indicated that risk of cesarean is higher when women are admitted to the hospital early in the labor. METHODS We examined data on 1,202 nulliparous wom...

One strategy for reducing the primary cesarean surgery rate and length of labor is using a peanut-shaped exercise ball for women laboring under epidural analgesia. A randomized, controlled study was conducted to determine whether use of a "peanut ball" decreased length of labor and increased the rate of vaginal birth. Women who used the peanut ball (n = 107) versus those who did not (n = 91) de...

Mothers given an epidural rather than parenteral opioid labor analgesia report less pain and are more satisfied with their pain relief. Analgesic method does not affect fetal oxygenation, neonatal pH, or 5-minute Apgar scores; however, neonates whose mothers received parenteral opioids require naloxone and have low 1-minute Apgar scores more frequently than do neonates whose mothers received ep...