The effect of intrapartum dental support use among nulliparous during the second stage of labor - a randomized controlled study

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
A AviramY Yogev

Abstract

We aimed to determine the effect of a dental support device (DSD) use on the course of labor and delivery in nulliparous women. A randomized, controlled, open-label study of nulliparous (at 37 + 0/7 and 41 + 3/7 weeks of gestation) in a single tertiary university-affiliated medical center. Exclusion criteria included maternal chronic diseases, multi-fetal gestation and fetal chromosomal or structural anomalies. Outcomes were analyzed according to the actual use of the DSD, and satisfaction questionnaires following delivery. Overall, 191 women were randomized (93in the study group and 98 in the control group). The median duration of the second stage was similar between the groups (100.0 ± 91.0 versus 98.0 ± 128.8 min, p = 0.97) and the maximal VAS score was significantly higher in the DSD group (4.0 ± 8.5 versus 3.0 ± 6.8, p = 0.04). The rate of obstetrical interventions such as operative vaginal delivery or cesarean section during the second stage was significantly higher in the control group than in the study group (28.2% versus 12.3% and 6.4% versus 1.2%, respectively, p = 0.004), mainly due to prolonged second stage of labor (24.5% versus 8.6%, p = 0.005). Of the DSD group, 50.6% rated the use of the DSD as comfortable, 32.2...Continue Reading

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References

Jan 1, 1992·Cranio : the Journal of Craniomandibular Practice·A G ForgioneW L Westcott
Oct 1, 1991·Cranio : the Journal of Craniomandibular Practice·A G ForgioneW L Westcott
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May 1, 2012·American Journal of Obstetrics and Gynecology·S Katherine LaughonJun Zhang
Feb 7, 2014·Obstetrics and Gynecology·Yvonne W ChengAaron B Caughey

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Citations

Mar 30, 2017·The Cochrane Database of Systematic Reviews·Andrea LemosJailson B Correia
Feb 18, 2018·Archives of Gynecology and Obstetrics·Anat LavieA Aviram

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