Comparison of the Efficacy of Intravenous Fluid Administration Between Bolus and Continuous Infusion in Pregnant Women With Fetal Heart Rate Tracing Category II: A Randomized Controlled Trial
The goal of this clinical trial is to compare the efficacy of two methods of intravenous (IV) fluid administration-bolus infusion versus continuous infusion-for intrauterine resuscitation in pregnant women who present with Category II fetal heart rate (FHR) tracings during labor. The main research question is:
Does intrauterine resuscitation using an adjusted IV hydration bolus of normal saline more effectively convert the FHR tracing from Category II to Category I within 30 minutes compared to adjusted IV hydration using a continuous infusion of 1000 mL normal saline at 150 mL/hour? Objectives
Primary Objective:
\- To compare the rate of improvement of electronic fetal monitoring (EFM) category from Category II to Category I within 30 minutes between two hydration methods: Normal saline bolus loading (adjusted dose) Normal saline continuous infusion (1000 mL at 150 mL/hr)
Secondary Objectives:
* To identify the characteristics of IV fluid administration used during intrauterine resuscitation.
* To determine whether fluid bolus improves fetal heart rate patterns more rapidly or effectively than continuous infusion.
Methods
Study Design: Randomized controlled trial with block randomization (block of four).
Participants: Pregnant women in labor who present with Category II FHR tracing on admission.
Intervention:
Group A: Adjusted IV hydration with normal saline bolus loading. Group B: Adjusted IV hydration with normal saline continuous infusion (1000 mL at 150 mL/hr).
Monitoring: Electronic fetal monitoring (EFM) will be continuously observed to detect any change in FHR category after intervention.
Primary Outcome: Conversion of FHR from Category II to Category I within 30 minutes.
Gender: FEMALE
Ages: 20 Years - 35 Years
