Effect of Dates in Late Pregnancy on the Duration of Labor in Nulliparous Women

Masoumeh Kordi, Fatemeh Tara, Farzaneh Rashidi Fakari, Mohsen Nemati, Mohammadtaghi Shakeri

Abstract


Background: Long-term delivery is an important significant issue which is associated with mortality and fetal and maternal disorders. Based on the previous studies, consumption of dates affects uterine contractions and duration of delivery processes. This study aimed to study the effect of date consumption in late pregnancy on the duration of delivery processes in nulliparous women in 2013.

Materials and Methods: This randomized clinical trial was conducted among 182 nulliparous women 18–35 years who presented to OmAlBanin Hospital in Mashhad in 2013. The comparison has been made between 91 pregnant women who consumed 70–76 g dates daily from the 37th week of pregnancy and 91 pregnant women who did not consume dates. Data collection tool was a questionnaire and a checklist of daily dates’ intake. Data were analyzed using the Statistical Package for the Social Sciences software and statistical tests – chi-square and Mann–Whitney test, and P value <0.05 was considered significant.

Results: The average length of active phase (P = 0.0001), length of second phase (P = 0.0001), and third phase (P = 0.004) in two groups had statistically significant difference. The average length of the second phase (P = 0.03) and the third phase (P = 0.02) in case of spontaneous start of delivery in the intervention group was significantly lower than the control group. Use of oxytocin to accelerate delivery had a significant difference between the two groups (P < 0.001).

 Conclusion: According to the results of this study, consuming dates in late pregnancy was effective in decreasing length of labor processes and reduced the need of oxytocin for labor acceleration. Thus, it is recommended to consume dates in women without contraindications.



Keywords


Fruit; Iran; pregnancy

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References


Gabbe SG, Neibyl JR, Simpson JL. Obstetrics normal and problem pregnancies. 5th ed. New York: Churchill Livingston; 2014. p. 770-1.

Gray Cuningham F, Leven O, Steven L, John C, Dwight J, Cathrine YW. Obstetrics. 23th ed. New York: McGraw Hill; 2010. p. 1081-4.

Gatward H, Simpson M, Woodhart L, Stainton MC. Women’s experiences of being induced for post-date pregnancy. Women Birth 2010;23:3-9.

Kordi M, Salek N, Safarian M, Smaeili H. Effect of Dates syrup on the progress of labor in primiparous women during labor. J Obstet Gynecol Infertil 2009;13:23-30.

Odent M. Laboring women are not marathon runners. Midwifery Today Childbirth Educ 1994;31:23-5.

Al-Shahib W, Marshall RJ. The fruit of the date palm: Its possible use as the best food for the future? Int J Food Sci Nutr 2003;54:247-59.

Vaezi S. Date Tree of life. Tehran: Azineh G0lmehr; 2004. p. 75-83.

Baliga MS, Baliga BRV, Kandathil SM, Bhat HP, Vayalil PK. A review of the chemistry and pharmacology of the date fruits (Phoenix dactylifera L.). Food Res Int 2011;44:1812-22.

Speroff L, Fritz MA. Clinical gynaecologic endocrinology and infertility. New York: Lippincott Williams & Wilkins; 2005.

Al-Kuran O, Al-Mehaisen L, Bawadi H, Beitawi S, Amarin Z. The effect of late pregnancy consumption of date fruit on labour and delivery. J Obstet Gynaecol 2011;31:29-31.

Kordi M, Aghaei Maibodi F, Tara F, Nemati M, Shakeri MT. Effect of consumption date fruit on spontaneous labor in primiparous woman. J Obstet Gynecol Infertil 2013;77:9-15.

Yousefy Jadidi M, Kariman N, Jam Bar Sang S, Lari H. The Effect of Date Fruit Consumption on Spontaneous Labor. J Res Religion Health 2015;1:4-10.

Khadem N, Sharaphy A, Latifnejad R, Hammod N, Ibrahimzadeh S. Comparing the efficacy of dates and oxytocin in the management of postpartum hemorrhage. Shiraz E-Med J 2007;8:64-71.

Mojahed Sh, Aflatoonian A, Khadem N, Dehghani Firoozabadi R, Karimi M. The evaluation of the effect of half-ripe date on bleeding after vaginal delivery. Sci Res J Yazd Shahid Sadooghi Univ Med Sci 2012;20:159-66.

Kashanian M, Shahali SH. Effects of acupressure at the Sanyinjiao point (SP6) on the process of active phase of labor in nulliparas women. J Maternal-Fetal Neonatal Med 2010;23:638-41.

Hatami Rad R, Najar S, Hekmat K. Effects of intravenous normal saline with and without dextrose on labour duration and delivery outcomes in nulliparous women. Koomesh 2012;13:434-9.

Hamood N. Comparing the efficacy of dates and oxytocin in the management of postpartum hemorrhage. [Thesis in Persian]. Mashhad: Mashhad University of Medical Science; 2008.

Shrivastava VK, Garite TJ, Jenkins SM, Saul L, Rumney P, Preslicka C, et al. A double-blinded randomized controlled trial comparing normal saline with and without dextrose on the course of labor in nulliparas. Am J Obstet Gynecol 2009;200:376-9.

Rahmani BR, Moslem AR, Rahmani MR, Askari B. The effect of food intake during labor on maternal outcomes: A Randomized Controlled Trial. Ofogh-e-Danesh. GMUHS J 2009;15:17-23.


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