Document Detail

Obstetric gel shortens second stage of labor and prevents perineal trauma in nulliparous women: a randomized controlled trial on labor facilitation.
MedLine Citation:
PMID:  18211256     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine whether the obstetric gel shortens the second stage of labor and exerts a protective effect on the perineum. METHOD: A total of 251 nulliparous women with singleton low-risk pregnancies in vertex position at term were recruited. A total of 228 eligible women were randomly assigned to Group A, without obstetric gel use, or to Group B, obstetric gel use, i.e., intermittent application into the birth canal during vaginal examinations, starting at the early first stage of labor (prior to 4 cm dilation) and ending with delivery. RESULTS: A total of 183 cases were analyzed. For vaginal deliveries without interventions, such as C-section, vaginal operative procedure or Kristeller maneuver, obstetric gel use significantly shortened the second stage of labor by 26 min (30%) (P=0.026), and significantly reduced perineal tears (P=0.024). First stage of labor and total labor duration were also shortened, but not significantly. Results did not show a significant change in secondary outcome parameters, such as intervention rates or maternal and newborn outcomes. No side effects were observed with obstetric gel use. CONCLUSION: Systematic vaginal application of obstetric gel showed a significant reduction in the second stage of labor and a significant increase in perineal integrity. Future studies should further investigate the effect on intervention rates and maternal and neonatal outcome parameters.
Andreas F Schaub; Mario Litschgi; Irene Hoesli; Wolfgang Holzgreve; Ulrich Bleul; Verena Geissbühler
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  36     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2008  
Date Detail:
Created Date:  2008-03-11     Completed Date:  2008-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  129-35     Citation Subset:  IM    
Happy Child Birth Holding AG Basel, Switzerland.
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MeSH Terms
Acrylic Resins / administration & dosage,  pharmacology*
Administration, Intravaginal
Cellulose / administration & dosage,  analogs & derivatives
Labor Stage, Second / drug effects*
Obstetric Labor Complications / prevention & control*
Perineum / injuries*
Propylene Glycol / administration & dosage
Reproductive Control Agents / administration & dosage,  pharmacology*
Time Factors
Treatment Outcome
Vaginal Creams, Foams, and Jellies
Reg. No./Substance:
0/Acrylic Resins; 0/Reproductive Control Agents; 0/Vaginal Creams, Foams, and Jellies; 57-55-6/Propylene Glycol; 9003-01-4/carbopol 940; 9004-34-6/Cellulose; 9004-62-0/hydroxyethylcellulose

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