Study Objective: To examine current policies on oral intake during lab
or among hospitals throughout the United States. Design and Setting: A
nonymous questionnaire survey distributed to the directors of anesthes
ia and obstetrics departments of 740 hospitals. Completed surveys were
then grouped by number of deliveries performed each year. Measurement
s and Main Results: A total of 2,265 surveys were distributed. Of that
number, 902 (33% response rate) surveys, representing 740 U.S. hospit
als, were returned. Of the surveys returned 419 surveys were received
from obstetricians and 401 surveys were received from anesthesiologist
s. Oral intake during Labor is limited primarily to clear liquids, alt
hough hospitals with fewer deliveries allow significantly more oral in
take during latent phase than do hospitals with larger services. Allow
ing nonclear liquids or solid foods is uncommon in either phase of lab
or, regardless of hospital size. Conclusions: The results give an indi
cation of oral intake policies used by labor and delivery units in the
United States, and they may be helpful for obstetric services that ar
e in the process of developing their own policies. (C) 1998 by Elsevie
r Science Inc.