This study examined the pattern of oral intake and its impact on emesi
s and other complications in low-risk gravidas during labor. It is com
mon clinical practice to restrict oral intake in most institutions. Th
e historical bases for this restrictive practice are explored. Finding
s from this study indicate that when given a choice, all 106 women cho
se a variety of types and amounts of oral intake throughout all stages
of labor. Over 80% of women who ate or drank during labor had no emes
is. Of the 20 who did have any emesis, 40% (eight) vomited more than o
nce. None of the women who vomited experienced poor outcomes. These da
ta suggest that women who choose oral intake during labor are at relat
ively low risk for complications related to this intake. Based on a co
mprehensive review of the literature and these study results, practiti
oners should allow as much choice as is consistent with empirical know
ledge and safe practice.