Vaginal Application of K-Y Gel During Labor in Nulliparous, Term Pregnant Women: A Case Control Study | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 84, Volume 93, Issue 1, October 2023, Pages 7447-7450 PDF (248.96 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.325828 | ||
| Abstract | ||
| Background: Labor process involves a friction process between fetal head and maternal pelvic floor and perineum which seems to be inevitable. Repeated vaginal birth with a lengthy second stage is a significant risk factor for pelvic floor and perineal injuries and related pathological outcomes. Purpose: This study aimed to assess maternal and fetal outcomes in nulliparous pregnant women after vaginal application of K-Y gel during the active period of labor as facilitating vaginal delivery can hopefully reduce perineal and pelvic floor injuries. Methods: A prospective case-control study including 220 primiparous, term pregnant women hospitalized to the Obstetrics and Gynecology Department in the first stage of labor. Participants were divided into two groups: Group I (n =110) got regular antepartum care (Control group) and group II (n =110) received K-Y gel in addition to standard antepartum care (Study group). Maternal and fetal outcomes were documented and examined. Results: The length of the second stage and the duration of the active phase were significantly shorter in the study group (P = 0.001). In the study group, the proportion of deliveries with intact perineum was significantly greater (P = 0.008). The mean Apgar score at one minute was significantly higher in the study group than in the control group (P = 0.029). In the study group, there were fewer perineal lacerations (OR 1.61; 95% CI of 0.95 - 2.75, P = 0.079). Other data and results were similar across the two groups, with no statistically significant differences. Conclusion: The administration of K-Y gel vaginally during labor in primiparous women shortens the length of the active phase and second stage of labor and increases the proportion of women who deliver with an intact perineum. | ||
| Keywords | ||
| Nulliparous; Active labor; Perineal lacerations; K-Y gel; Episiotomy; Second stage | ||
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