In this episode, I explore the latest evidence on the use of saline locks!
A saline lock – sometimes called a “hep-lock” in reference to how it used to be used – is an intravenous (IV) catheter that is threaded into a peripheral vein, flushed with saline, and then capped off for later use. Nurses use saline locks to have easy access to the vein for potential injections. They can be useful in administering drugs as needed, and in the event of emergency surgery.
What is the latest research on the use of saline locks in labor and delivery? What is the evidence for the saline lock in someone who wants an un-medicated birth or wants to avoid medical interventions as much as possible? Should a saline lock be in place “just in case” it may be needed? I’ll cover the evidence on this topic, along with the risks and benefits.
For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.
RESOURCES:
Bailey, J. M., C. Bell, R. Zielenski (2019). “Timing and outcomes of an indication-only use of intravenous cannulation during spontaneous labor.” J Midwifery Womens Health 00:1-7.
Bateman, B. T., M. F. Berman, et al. (2010). “The epidemiology of postpartum hemorrhage in a large, nationwide sample of deliveries.” Anesthesia and analgesia 110(5): 1368-1373.
Maki, D. G., D. M. Kluger, et al. (2006). “The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies.” Mayo Clin Proc 81(9): 1159-1171.
Newton, N., M. Newton, et al. (1988). “Psychologic, physical, nutritional, and technologic aspects of intravenous infusion during labor.” Birth 15(2): 67-72.
Rickard, C. M., D. McCann, et al. (2010). “Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomised controlled trial.” BMC Med 8: 53.
Want evidence on more topics? Access all of the Evidence Based Birth Signature Articles at our blog.
Listening to this podcast is an Australian College of Midwives CPD Recognised Activity.
Stay empowered, read more :
Aromatherapy during Labor for Pain Relief
Learn about aromatherapy during labor and how researchers think it might work to relieve pain. We’ll share the evidence from recent studies and whether they found aromatherapy to be effective at relieving pain and anxiety. We also discuss potential harms of aromatherapy and its effects on nursing staff.
Transcutaneous Electrical Nerve Stimulation (TENS) for pain relief during labor
What is TENS and how is it used for pain relief during labor? In today’s video, we’ll share all about the evidence for using TENS during labor and how researchers think it might work. We’ll also discuss its history, if it’s linked to any adverse effects, and how you can acquire a TENS unit and learn to use it.
Sterile Water Injections for pain relief during labor
In today’s video, we’ll learn what sterile water injections are and how they might help to provide pain relief during labor. We’ll discuss the evidence on their effectiveness and the latest clinical recommendations from a 2017 systematic review.