02/26/2022
Informed consent ✔️
You have the RIGHT to refuse any intervention you want in labor, including an IV.
Whether you should or should not have an IV or saline (hep) lock in labor is a personal choice.
🗯First, lets be sure to distinguish between an IV and saline-lock:
An IV means you are hooked up to a bag of IV fluids which may be for hydration or medication administration.
A saline-lock or hep-lock is simply the port placed into your vein for intravenous access. It is a soft catheter and once placed is generally not too noticeable. It does not need to be hooked up to anything, so you are free to move around without tubing attached to you.
🔴The risks of an IV or saline lock are:
▪️infection, swelling, pain, discomfort, and being one-step closer to potential intervention such as fluids for hydration or Pitocin to help your labor along, and the unintended consequences as outlined above.
🟢The benefits of an IV or saline lock are:
▪️Quick and easy access to deliver pain, anti-nausea or GBS medication, pitocin for labor augmentation or with delivery of the placenta, or rapid fluids in case of postpartum hemorrhage.
Note: If you choose to have an epidural, a saline lock is recommended as IV access may be needed for additional fluids or in case something goes wrong.
Take away: Eat and drink in labor at will and say “No” to an IV if that is your preference.
ACNM: American College of nurse midwives
WHO: World health organization
NICE: National Institute for health and care excellence
SOCG: Society of obstetricians and gynecologists
ACOG: American College of obstetricians and gynecologists
ASA: American Society of anesthesiologists