Document Detail

Enemas during labor.
MedLine Citation:
PMID:  10796195     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The use of enemas during labor usually depends on the preference of the attending physician and available resources. However enemas cause discomfort in women and increase the costs of delivery.
OBJECTIVES: The objective of this review was to assess the effects of enemas during the first stage of labor on infection rates in mothers and newborns, duration of labor, perineal wound dehiscence in the mother, perineal pain, faecal soiling and costs.
SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register, the Cochrane Controlled Trials Register, Database of Abstracts of Reviews of Effectiveness, Medline and reference lists of articles.
SELECTION CRITERIA: Randomised trials in which an enema was administered during the first stage of labor and which included assessment of possible neonatal or puerperal morbidity or mortality.
DATA COLLECTION AND ANALYSIS: Selected studies were assessed by three reviewers independently.
MAIN RESULTS: Two trials involving 665 women were included. These showed no clear difference in infection rates for puerperal mothers (odds ratio 0.61, 95% confidence interval 0.36 to 1.04) or newborn children.
REVIEWER'S CONCLUSIONS: There is not enough evidence to evaluate the use of routine enemas during the first stage of labor.
L G Cuervo; M N Rodríguez; M B Delgado
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  -     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2000  
Date Detail:
Created Date:  2000-07-06     Completed Date:  2000-07-06     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  CD000330     Citation Subset:  IM    
Clinical Epidemiology Unit, Universidad Javeriana, Cra. 7 # 40-62 Piso 2 Hospital San Ignacio, Unidad de Epidemiología Clínica, Bogotá D.C., Colombia.
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MeSH Terms
Labor Stage, First*
Update In:
Cochrane Database Syst Rev. 2007;(4):CD000330   [PMID:  17943738 ]

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