Re: Nutrition during labor

From: ainsron (ainsron@sbcglobal.net)
Tue Apr 17 09:47:12 2007


A CDC survey of maternal deaths between 1979 and 1999 identified 23% of the 129 anesthesia-related deaths associated with aspiration of gastric contents. The ASA task force on obstetrical anesthesia (1999) recommends clear liquids for uncomplicated laboring women and avoidance of solid foods. I believe most of us follow those recommendations and anyone who doesn't, adds to their liability if an adverse event occurs.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Jamie Sent: Tuesday, April 17, 2007 7:33 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Nutrition during labor

My own experience is that emesis happens regardless of eating or not.

What is the actual incidence of aspiration in patients who have emergency surgery after eating?

At Mon, 16 Apr 2007, Stmidwife@aol.com wrote: >
>My clients eat and drink during their entire labor. This has worked very
>well. I think that it is awfully hard for our bodies to work efficiently
with >no food or drink. I know that the philosophy of some is that emesis will
>occur with food but I have observed the opposite being that people are
having >emesis(bile specifically) due to having an empty stomach. I encourage a
cup of >fluid every hour once in active labor(gatorade, protein smoothie,
electrolyte >drink) and easily digestable food every two hours like a carb with a
>protein. (Yogurt with fruit, pasta with chicken, ect). And since I am
putting in >my 2 cents, I have also seen what I believe to be a correlation in women
>having good nutrition in labor and babies blood sugar levels being normal
at birth. >
>Sue
>
>In a message dated 4/16/2007 4:09:38 P.M. Pacific Standard Time,
>ob-gyn-l@obgyn.net writes:
>
>Would like to hear especially from the Midwives on the list what their
>philosophy is regarding nutrition during labor.
>

--
JFields, RN, BSN




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