The Effect of Normal Saline Compared to Dextrose-Saline Infusion on the Duration of Active Phase of Loabor in Nulliparous Women: A Double-Blind Randomized Controlled Clinical Trial

Abstract

Introduction: Prolonged labor increases adverse maternal and neonatal outcomes. Very few interventions are known to shorten labor duration. The present study was performed with aim to evaluate the effect of intravenous dextrose-saline infusion compared with intravenous normal saline infusion on the duration of the active phase of labor in nulliparous women. Methods: In this double-blind randomized clinical trial (blinding of patients and data analyst), which was performed in 2020-2021, 60 nulliparous women in the active phase of labor who had referred to the teaching hospitals of Mashhad University of Medical Sciences were randomized by block randomization method and allocated to two groups of receiving normal saline at a rate of 150cc per hour and dextrose at 5% saline at the same rate. The primary outcome was evaluating the duration of the active phase of the labor. Secondary outcomes included the duration of second phase of labor and the rate of cesarean section, maternal and neonatal outcomes. Data analysis was performed using SPSS statistical software (version 25) and Chi-square tests and Fisher's exact test. P 0.05). Conclusion: It seems that the use of dextrose-containing solutions in nulliparous women during labor shortens the duration of labor compared to normal saline.

Keywords

• active phase of labor
• dextrose saline
• normal saline
• nulliparous