Aix Marseille University, École Universitaire de Maïeutique, Marseille, France.
Department of Obstetrics and Gynecology, Hôpital de la Conception, APHM, Marseille, France.
J Matern Fetal Neonatal Med. 2022 Feb;35(4):692-698. doi: 10.1080/14767058.2020.1731453. Epub 2020 Feb 20.
The main purpose of our study has been to establish a link between the administration of intravenous fluids during Labor and the weight loss experienced by infants during hospitalization.
We conducted a retrospective observational study using a descriptive and comparative method. We studied 150 records of patients who gave birth at term (low-risk pregnancy) of a single healthy new born with breastfeeding in a university hospital center between 1 January 2016 and 31 July 2016. Maternal, obstetrical and neonatal characteristics were registered to determine the influence of vascular filling by univariate and multivariate analysis and identified factors that may lead to increase neonatal weight loss.
One hundred and fifty mother-child couples were studied. Newborns whom mothers received at least 1500 mL of solute during Labor lose significantly more weight until the third day of life ( < .001) compared to women who received less than 1500 mL, also observed for neonatal weight loss greater than 8% ( = .043). In addition, the obstetrical factors most significantly associated with an increase in the volume of solute injected were the duration of Labor ( < .001), the administration of oxytocin ( < .001), epidural analgesia ( = .01) and emergency cesarean section during Labor ( < .001).
We found a link between vascular volume injected during Labor and increased risk of neonatal weight loss. Taking this factor into account when monitoring Labor in the birth room is essential to prevent and adapt neonatal management in the event of excessive weight loss. Influence of intrapartum maternal fluids on weight loss in breastfed newborns.
本研究的主要目的是建立分娩期间静脉输液与住院期间婴儿体重减轻之间的联系。
我们使用描述性和比较方法进行了回顾性观察性研究。我们研究了 2016 年 1 月 1 日至 7 月 31 日期间在一所大学医院中心分娩的 150 名足月（低风险妊娠）单胎健康新生儿母乳喂养的患者记录。登记了产妇、产科和新生儿特征，以确定血管充盈的影响，进行单变量和多变量分析，并确定可能导致新生儿体重减轻增加的因素。
研究了 150 对母婴。分娩期间接受至少 1500 毫升溶质的新生儿在生命的第三天体重明显减轻（ < .001），与接受少于 1500 毫升溶质的女性相比，也观察到新生儿体重减轻超过 8%（ = .043）。此外，与注入溶质体积增加最显著相关的产科因素是分娩持续时间（ < .001）、催产素的使用（ < .001）、硬膜外镇痛（ = .01）和分娩期间紧急剖宫产（ < .001）。
我们发现分娩期间血管容积注入与新生儿体重减轻风险增加之间存在联系。在分娩室监测分娩时考虑到这一因素对于预防和适应新生儿体重减轻过多的管理至关重要。分娩期母体液体对母乳喂养新生儿体重减轻的影响。
