Effects of High Volume Saline Enemas During Labour
Author Information
Author(s): Luis Gabriel Cuervo, María del Pilar Bernal, Natalia Mendoza
Primary Institution: Universidad Javeriana
Hypothesis
The use of high volume enemas during the first stage of labour does not modify neonatal and puerperal infectious rates.
Conclusion
This study found no evidence to support the routine use of enemas during labour.
Supporting Evidence
- Enemas did not significantly change infection rates in mothers or newborns.
- Median labour time was similar between groups.
- Overall infection rate for newborns was 21%, and for women was 18%.
- Follow-up was completed by 87% of women and 86% of newborns.
Takeaway
The study looked at whether giving women enemas during labor helps prevent infections. It found that enemas don't really help and might not be worth the trouble.
Methodology
Randomised controlled trial comparing 1 litre saline enema versus no enema during the first stage of labour.
Potential Biases
Recruitment rates varied among different interns and residents, which could introduce bias.
Limitations
The study may have been underpowered to detect differences for individual outcomes.
Participant Demographics
443 women with low-risk pregnancies, gestational age ≥ 36 weeks, and no pelvic or systemic bacterial infections.
Statistical Information
P-Value
P = 0.24
Confidence Interval
95% CI 0.43 to 1.03
Digital Object Identifier (DOI)
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