Eating and drinking in labor: should it be allowed?
Eating and drinking in labor is a controversial subject with practice varying widely by practitioners, within facilities, and around the world. The risk of aspiration pneumonitis and anesthesia-related deaths at cesarean section has resulted in adherence to historical practices of starving women in labor. Studies have shown that the risk of this anesthetic-related complication is low. It is the fear of the birth-attendant to bear full responsibility if a patient inhales gastric contents when giving in to demands for liberal fluid and food regimes during labor that governs practice. While the bulk of evidence supports fluid intake in labor, there are insufficient published studies to draw conclusions about the relationship between fasting times and the risk of pulmonary aspiration during labor. Whether or not allowing food and fluid throughout labor is beneficial or harmful can only be determined by further research. A computerized search was done of MEDLINE, PUBMED, SCOPUS and CINAHL, as well of historical articles, texts, articles from indexed journals, and references cited in published works.
Department of Obstetrics and Gynecology, University of Otago, Wellington, New Zealand. dean.maharaj@otago.ac.nz
Dushyant
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Maharaj
D000773:Anesthesia, Obstetrical / Q000009:adverse effects; D004326:Drinking; D004435:Eating; D005215:Fasting; D005260:Female; D005746:Gastric Emptying / Q000502:physiology; D006801:Humans; D007743:Labor, Obstetric; D007744:Obstetric Labor Complications / Q000209:etiology; D011015:Pneumonia, Aspiration / Q000209:etiology; D011247:Pregnancy