Judicious use of oxytocin augmentation for the management of prolonged labor

Rossen, Janne; Østborg, Tilde Broch; Lindtjørn, Elsa; Schulz, Jörn; Eggebø, T. M.

doi:10.1111/aogs.12821

Cited by 37 publications

(19 citation statements)

References 31 publications

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“… 27 The role of oxytocin in labour management is important, but the optimal dose and timing is yet to be revealed. 26 The different types of labour management probably explain the different rates of oxytocin augmentation and prolonged labours observed ( tables 3 and 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…SUH practice a judicious use of oxytocin that includes a definition of the start of active labour, prolonged labour and thereby indication for oxytocin use, which differ from NMH and SLO. 26 Compared with NMH and their philosophy of prevention of prolonged labour this may lead to more labours that are prolonged. The package of Active Management of Labor with one to one care and its advantages practised at NMH and in SLO has always been an issue of much debate.…”

Section: Discussionmentioning

confidence: 99%

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A method to assess obstetric outcomes using the 10-Group Classification System: a quantitative descriptive study

et al. 2017

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ObjectivesInternationally, the 10-Group Classification System (TGCS) has been used to report caesarean section rates, but analysis of other outcomes is also recommended. We now aim to present the TGCS as a method to assess outcomes of labour and delivery using routine collection of perinatal information.DesignThis research is a methodological study to describe the use of the TGCS.SettingStavanger University Hospital (SUH), Norway, National Maternity Hospital Dublin, Ireland and Slovenian National Perinatal Database (SLO), Slovenia.Participants9848 women from SUH, Norway, 9250 women from National Maternity Hospital Dublin, Ireland and 106 167 women, from SLO, Slovenia.Main outcome measuresAll women were classified according to the TGCS within which caesarean section, oxytocin augmentation, epidural analgesia, operative vaginal deliveries, episiotomy, sphincter rupture, postpartum haemorrhage, blood transfusion, maternal age >35 years, body mass index >30, Apgar score, umbilical cord pH, hypoxic–ischaemic encephalopathy, antepartum and perinatal deaths were incorporated.ResultsThere were significant differences in the sizes of the groups of women and the incidences of events and outcomes within the TGCS between the three perinatal databases.ConclusionsThe TGCS is a standardised objective classification system where events and outcomes of labour and delivery can be incorporated. Obstetric core events and outcomes should be agreed and defined to set standards of care. This method provides continuous and available observations from delivery wards, possibly used for further interpretation, questions and international comparisons. The definition of quality may vary in different units and can only be ascertained when all the necessary information is available and considered together.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A method to assess obstetric outcomes using the 10-Group Classification System: a quantitative descriptive study

et al. 2017

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“…Prolonged labor, also known as failure to progress, was considered when the labor, after the latent phase of first stage of labor, exceeds 12 hours in primigravida or 8 hours in multipara mothers. [22][23][24] Premature rupture of membrane (PROM) was considered as a rupture of the membrane of the amniotic sac and chorion occurred more than one hour before the onset of labor. Prolonged rupture of membrane is a rupture of membrane or leaking for >18 hours.…”

Section: Operational Definitionsmentioning

confidence: 99%

<p>Determinants of Birth Asphyxia Among Newborns in Referral Hospitals of Amhara National Regional State, Ethiopia</p>

Meshesha

Azage²,

Worku³

et al. 2020

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Background: Globally, every year, 2.5 million infants die within their first month of life. Birth asphyxia is one of the leading causes in all low-and middle-income countries and the leading single cause of neonatal mortality in Ethiopia. Therefore, the aim of this study was to identify the determinants of birth asphyxia among newborns admitted to neonatal intensive care units (NICU) in Amhara region referral hospitals, Ethiopia. Methods: Facility-based unmatched case-control study was employed from March 1 to April 30, 2018. Cases were newborn babies admitted to neonatal intensive care units with an admission criteria of birth asphyxia with APGAR score of <7 at five min of birth and controls were newborn babies admitted to NICU with an admission criteria of other complications (such as jaundice, congenital anomalies, sepsis, hemorrhagic diseases) with APGAR score of ≥7 at five min of birth. Using SPSS version 20, bivariate logistic regression model was fitted to check the relation of each independent variable to the outcome variable. Variables with p<0.2 in bivariate analysis were transferred to multivariable logistic regression model for final analysis. Variables with an adjusted odds ratio (AOR) of 95%CI and p<0.05 were reported as determinants of birth asphyxia. Results: Data were collected from 193 cases and 193 controls with a response rate of 100%.

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“…Similar to induction, the reason for slow progress may become the reason for emergency CS. As oxytocin is a powerful drug with potential serious side-effects, minimizing its use is generally advised 32 . The rate of augmentation, excluding PROM, induction, multiple pregnancy and elective CS, was 16.6% (741/4481) for all, 10% for multiparous, and 29.9% for primiparous women.…”

Section: Discussionmentioning

confidence: 99%

Oxytocin and emergency caesarean section in a medium-sized hospital in Pakistan: A cross-sectional study

Lukasse¹,

Hovda²,

Thommessen³

et al. 2020

Eur J Midwifery

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INTRODUCTION One of the most common complications during labor is prolonged labor (dystocia), which is associated with risks for the mother and fetus. Dystocia is usually treated with oxytocin, which is also used to induce labor. Oxytocin may not have the desired effect of progress and can negatively affect the fetus, thus resulting in an emergency caesarean section (CS). The aim of this study was to describe obstetric practice, use of oxytocin and its association with an emergency CS. METHODS A cross-sectional retrospective register study was conducted that included all women who gave birth during 2014 and 2015 at a hospital in a large city in Pakistan. RESULTS A total of 6652 women gave birth to 6767 newborns, 66.8% were multiparous and 33.2% primiparous women. Of the primiparous women, 78.9% had a spontaneous vaginal birth, 1.2% an elective CS and 14.4% an emergency CS. Of the multiparous women, 81.9% had a spontaneous vaginal birth, 8.0% an elective CS and 6.7% an emergency CS. Operative vaginal birth was 2.1% among primiparous and 0.2% among multiparous women. Oxytocin for induction or augmentation was administered to 60.0% of primiparous and 30.5% of multiparous women. Oxytocin during the first stage of labor was associated with an increased risk for emergency CS for both primiparous and multiparous women. CONCLUSIONS Despite the association between oxytocin and emergency CS, the CS rate was low in this hospital. The majority of the women gave birth vaginally, even with a breech presentation. Few operative vaginal births were performed.

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Judicious use of oxytocin augmentation for the management of prolonged labor

Abstract: The frequency of emergency cesarean section was reduced after implementing judicious use of oxytocin augmentation. Our findings may be of interest in the ongoing discussion of how the balanced use of oxytocin for labor augmentation can best be achieved.

Cited by 37 publications

References 31 publications

A method to assess obstetric outcomes using the 10-Group Classification System: a quantitative descriptive study

A method to assess obstetric outcomes using the 10-Group Classification System: a quantitative descriptive study

<p>Determinants of Birth Asphyxia Among Newborns in Referral Hospitals of Amhara National Regional State, Ethiopia</p>

Oxytocin and emergency caesarean section in a medium-sized hospital in Pakistan: A cross-sectional study

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