Hyponatremia complicating labour - Rare or unrecognised? A prospective observational study

BJOG: An International Journal of Obstetrics and Gynaecology

Volumn 116, Issue 4, 2009, Pages 552-561

  Moen, V ^a,b   Brudin, L ^c   Rundgren, M ^b   Irestedt, L ^b  

^a KALMAR COUNTY HOSPITAL   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

^c LINKÖPING UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Epidural; Fluids; Hyponatraemia; Labour; Obstetric; Oxytocin

Indexed keywords

OXYTOCIN; SODIUM;

ADULT; AGED; ARTICLE; CESAREAN SECTION; CONTROLLED STUDY; DELIVERY; EPIDURAL ANESTHESIA; FEMALE; FLUID INTAKE; HUMAN; HYPONATREMIA; LABOR; MAJOR CLINICAL STUDY; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PREVALENCE; PRIORITY JOURNAL; SODIUM BLOOD LEVEL;

ADULT; CASE-CONTROL STUDIES; DRINKING; FEMALE; HUMANS; HYPONATREMIA; HYPOTONIC SOLUTIONS; OBSTETRIC LABOR COMPLICATIONS; PREGNANCY; PROSPECTIVE STUDIES;

EID: 60449097562     PISSN: 14700328     EISSN: 14710528     Source Type: Journal    
DOI: 10.1111/j.1471-0528.2008.02063.x     Document Type: Article

References (35)

1. Tarnow-Mordi WO, Shaw CLJ, Liu D, Gardner DA, Flynn FV. Iatrogenic hyponatraemia of the newborn due to maternal fluid overload: a prospective study. Br Med J 1981 283 : 639 42.
2. Omigbodun AO, Fajimi JL, Adeleye JA. Effects of using either saline or glucose as a vehicle for infusion in labour. East Afr Med J 1991 68 : 88 92.
3. Spencer SA, Mann NP, Smith ML, Woolfson AMJ, Benson S. The effect of intravenous therapy during labour on maternal and cord serum sodium levels. Br J Obstet Gynaecol 1981 88 : 480 3.
4. Singhi SC, Chookang E. Maternal fluid overload during labour; transplacental hyponatraemia and risk of transient neonatal tachypnoea in term infants. Arch Dis Child 1984 59 : 1155 8.
5. Singhi S, Chookang E, Hall JS. Intrapartum infusion of aqueous glucose solution, transplacental hyponatraemia and risk of neonatal jaundice. Br J Obstet Gynaecol 1984 91 : 1014 18.
6. Stratton JF, Stronge J, Boylan PC. Hyponatraemia and non-electrolyte solutions in labouring primigravida. Eur J Obstet Gynecol Reprod Biol 1995 59 : 149 51.
7. Garite TJ, Weeks J, Peters-Phair K, Pattilo C, Brewster WR. A randomized controlled trial of the effect of increased intravenous hydration on the course of labor in nulliparous women. Am J Obstet Gynecol 2000 183 : 1544 8.
8. Eslamian L, Marsoosi V, Pakneeyat Y. Increased intravenous fluid intake and the course of labor in nulliparous women. Int J Gynaecol Obstet 2006 93 : 102 5.
9. O'Sullivan G, Liu B, Shennan AH. Oral intake during labor. Int Anesthesiol Clin 2007 45 : 133 47.
10. Valtin H. "Drink at least eight glasses of water a day." Really? Is there scientific evidence for "8x8"? Am J Physiol Regul Integr Comp Physiol 2002 283 : R993 R1004.
11. Paech MJ. Convulsions in a healthy parturient due to intrapartum water intoxication. Int J Obstet Anesth 1998 7 : 59 61.
12. Johansson S, Lindow S, Kapadia H, Norman M. Perinatal water intoxication due to excessive oral intake during labour. Acta Paediatr 2002 91 : 811 14.
13. West CR, Harding JE. Maternal water intoxication as a cause of neonatal seizures. J Paediatr Child Health 2004 40 : 709 10.
14. Graham K, Palmer J. Severe hyponatraemia as a result of primary polydipsia in labour. Aust N Z J Obstet Gynaecol 2004 44 : 586 7.
15. Reynolds RM, Padfield PI, Seckl JR. Disorders of sodium balance. BMJ 2006 332 : 702 5.
16. Lindheimer MD, Davison JM. Osmoregulation, the secretion of arginine vasopressin and its metabolism during pregnancy. Eur J Endocrinol 1995 132 : 133 43.
17. Hytten FE, Klopper AI. Response to a water load in pregnancy. J Obstet Gynaecol Br Commonw 1963 70 : 811 16.
18. Ayus JC, Arieff AI. Brain damage and postoperative hyponatremia: the role of gender. Neurology 1996 46 : 323 8.
19. Smith JG, Merrill DC. Oxytocin for induction of labor. Clin Obstet Gynecol 2006 49 : 594 608.
20. Ruchala PL, Metheny N, Essenpreis H, Borcherding K. Current practice in oxytocin dilution and fluid administration for induction of labor. J Obstet Gynecol Neonatal Nurs 2002 31 545 50.
21. Ayus JC, Achinger SG, Arieff A. Brain cell volume regulation in hyponatraemia: role of sex, age, vasopressin and hypoxia. Am J Physiol Renal Physiol 2008 295 : F619 24.
22. Singhi S, Parshad O. Plasma arginine vasopressin response to water load during labour. Int J Gynaecol Obstet 1985 23 : 37 40.
23. Oatridge A, Holdcroft A, Saeed N, Hajnal JV, Puri BK, Fusi L, et al. Change in brain size during and after pregnancy: study in healthy women and women with preeclampsia. AJNR Am J Neuroradiol 2002 23 : 19 26.
24. American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Practice guidelines for obstetric anesthesia: an updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Anesthesiology 2007 106 : 843 63.
25. Nordström L, Arulkumaran S, Chua S, Ratnam S, Ingemarsson I, Kublickas M, et al. Continuous maternal glucose infusion during labor: effects on maternal and fetal glucose and lactate levels. Am J Perinatol 1996 12 : 357 62.
26. Jamal A, Choobak N, Tabassomi F. Intrapartum maternal glucose infusion and fetal acid-base status. Int J Gynaecol Obstet 2007 97 : 187 9.
27. Noakes TD. Drinking guidelines for exercise: what evidence is there that athletes should drink "as much as tolerable", "to replace weight loss during exercise" or "ad libitum"? J Sports Sci 2007 25 : 781 96.
28. Noakes TD, Speedy DB. Case proven: exercise associated hyponatremia is due to overdrinking. So why did it take 20 years before original evidence was accepted? Br J Sports Med 2006 40 : 567 72.
29. Almond CS, Shin AY, Fortescue EB, Mannix RC, Wypij D, Binstadt BA, et al. Hyponatremia among runners in the Boston Marathon. N Engl J Med 2005 352 : 1550 6.
30. Kubli M, Scrutton MJ, Seed PT, ÓSullivan G. An evaluation of isotonic "sport drinks" during labor. Anesth Analg 2002 94 : 404 8.
31. Scheepers HJ, deJong PA, Essed GG, Kanhai HH. Carbohydrate solution intake during labour just before the start of the second stage: a double-blind study on metabolic effects and clinical outcome. BJOG 2004 111 1382 7.
32. Tranmer JE, Hodnett ED, Hannah ME, Stevens BJ. The effect of unrestricted oral carbohydrate intake on labor progress. J Obstet Gynecol Neonatal Nurs 2005 34 : 319 28.
33. Parsons M, Bidewell J, Griffiths R. A comparative study of the effect of food consumption on labour and birth outcomes in Australia. Midwifery 2007 23 : 131 8.
34. Ophir E, Solt I, Odeh M, Bornstein J. Water intoxication - a dangerous condition in labor and delivery rooms. Obstet Gynecol Surv 2007 62 : 731 8.
35. Green A, Popham P. Hyponatraemia complicating vaginal delivery. Int J Obstet Anesth 2008 17 : 93 4.