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Related Experiment Videos

Enemas during labour.

L Reveiz1, H G Gaitán, L G Cuervo

  • 1Fundación Universitaria Sánitas, Research Institute - School of Medicine, Av Calle 127 # 21 - 60 Cons 221, Bogota, Colombia. lureveiz@colsanitas.com

The Cochrane Database of Systematic Reviews
|October 19, 2007
PubMed
Summary
This summary is machine-generated.

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Routine enemas during labor do not significantly impact infection rates or women's satisfaction. This evidence discourages the regular use of enemas in childbirth, as they offer no clear benefits.

Area of Science:

  • Obstetrics and Gynecology
  • Evidence-Based Medicine
  • Maternal and Neonatal Health

Background:

  • Enema use during labor is often provider-dependent, potentially causing maternal discomfort and increasing delivery costs.
  • Limited evidence exists on the benefits and risks of enemas during the first stage of labor.

Purpose of the Study:

  • To evaluate the impact of enemas administered during the first stage of labor on maternal and neonatal infection rates.
  • To assess effects on labor duration, perineal wound complications, perineal pain, and fecal soiling.

Main Methods:

  • Systematic review and meta-analysis of three randomized controlled trials (RCTs) involving 1765 women.
  • Searched major databases including Cochrane, PubMed, and clinical trials registers up to December 2006.

Related Experiment Videos

  • Included RCTs assessing neonatal or puerperal morbidity/mortality following enema administration during labor.
  • Main Results:

    • No significant differences in puerperal or neonatal infection rates between enema and no-enema groups.
    • Inconsistent findings regarding labor duration; one trial showed shorter labor with enemas, while another did not.
    • No significant differences in neonatal umbilical infections or maternal satisfaction were observed.

    Conclusions:

    • Current evidence from three RCTs indicates enemas do not significantly affect infection rates or maternal satisfaction.
    • The routine use of enemas during labor is not supported by the available evidence.
    • Healthcare providers should discourage the routine administration of enemas during the first stage of labor.