Labor stimulation with oxytocin: effects on obstetrical and neonatal outcomes

Hidalgo-Lópezosa, Pedro; Hidalgo-Maestre, María; Rodríguez‐Borrego, María Aurora

doi:10.1590/1518-8345.0765.2744

Cited by 43 publications

(46 citation statements)

References 21 publications

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“…Regarding the use of oxytocin, unlike the results presented in this study, a study to evaluate the implications of obstetric and neonatal outcomes under labor stimulation with oxytocin shows that there was no association between oxytocin use for labor stimulation and Apgar rates in the fifth minute <7 (9) . Oxytocin use, especially at high doses and without adequate monitoring, may pose serious risks to the mother and fetus, such as uterine tachysystole and impaired fetal heart rate, due to the prolongation of uterine contractility that may lead to decreased blood flow to the fetus (9)(10) .…”

Section: Discussioncontrasting

confidence: 75%

Associação entre fatores maternos e neonatais e o Apgar em recém-nascidos de risco habitual

Saraiva¹,

Vogt²,

Rocha

et al. 2018

Rev Rene

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Objetivo: verificar associação entre fatores maternos e neonatais e o índice de Apgar <7 aos cinco minutos de vida. Métodos: estudo transversal com 134 recém-nascidos. Para análise dos dados coletados com instrumento elaborado pelos pesquisadores, utilizou-se a descrição das frequências absolutas e relativas e a aplicação dos testes Qui-quadrado ou exato de Fisher. Resultados: do total de recém-nascidos, 63,0% tinham mãe primigesta, 56,0% eram do sexo masculino, 79,0% nasceram de parto normal, 65,0% demandaram oxigênio e 45,0% foram reanimados na sala de parto. Entre as mulheres, 71,0% utilizaram ocitocina. Conclusão: uso de ocitocina, oxigênio e reanimação em sala de parto mostraram associação significativa com Apgar <7 aos cinco minutos de vida. Peso ao nascer, tempo de bolsa rota, eliminação de mecônio, tipo de parto e paridade não se relacionaram ao baixo valor de Apgar.

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Section: Discussioncontrasting

confidence: 75%

Associação entre fatores maternos e neonatais e o Apgar em recém-nascidos de risco habitual

Saraiva¹,

Vogt²,

Rocha

et al. 2018

Rev Rene

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“…Despite its widespread use during labour, and its effectiveness in labour induction and augmentation [11], there is still little research on the short and longterm consequences of synthetic oxytocin on both the woman and child [12]. However, the immediate adverse effects may include hypertonic uterine contractions, uterine rupture, cardiac arrhythmia, hypotension, extensive bleeding and pulmonary oedema in the woman, hypoxia and retinal haemorrhage in the baby [13,14].…”

Section: Introductionmentioning

confidence: 99%

Oxytocin administration for induction and augmentation of labour in Polish maternity units– an observational study

Baranowska

Kajdy²,

Kiersnowska

et al. 2020

Preprint

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BackgroundThere is not enough data regarding practices and protocols that healthcare personnel follow and the amount of oxytocin that women receive during labour. Empirical evidence indicates that compliance with the guidelines improves the quality of healthcare and reduces adverse effects. The aim of the study was to evaluate oxytocin supply practices of oxytocin for labour induction and augmentation in Polish maternity units.MethodsThe article presents a prospective observational study. Data collection took place in two selected maternity units between January 15 and July 31, 2019 (n=545). Inclusion criteria were women in term pregnancies, undergoing oxytocin induction or augmentation of labour. Exclusion criteria were women who were in preterm labour, aged less than 18 years, and women whose baby was known to have a malformation. ResultsThe average total amount of oxytocin administrated to women before birth was 7,329µg following labour induction and 3.952µg following labour augmentation. The actual administration of oxytocin deviated both from the unit and national guidelines in 93,6% of all observed labours. We found no statistically significant correlation between the amount of oxytocin administered and mode of delivery, immediate postpartum blood loss or Apgar scores. There was no observed effect of total oxytocin on short-term perinatal outcomes. Hospitals with similar protocols did not differ significantly in terms of total oxytocin amount, induction to stimulation ratio—the only observed difference was the mode of delivery. ConclusionsThere is a need for a thorough analysis to find out the reasons for the observed discrepancies between protocols and practice.

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“…This practice, however, was less frequent than in other studies 2,3,22 and was not associated with perineal lacerations or neonatal complications, a result similar to another investigation. 28 Episiotomy was performed in 16.0% of the women, a percentage higher than other studies. 29,30 This is a practice that is associated with iatrogenic consequences for the physical and psychosocial health of women and should therefore be avoided.…”

Section: Discussionmentioning

confidence: 69%

Obstetric practices performed by nurse-midwives of a hospital natural birth center

Freitas¹,

Narchi

Fernandes³

2019

Esc. Anna Nery

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Objectives: To characterize the practices used by nurse-midwives in a Natural Birth Center (NBC) and to verify the maternal and neonatal outcomes. Method: This was a cross-sectional, documentary, retrospective study with a quantitative approach in which the medical records of 300 parturients who gave birth in a state hospital in the city of São Paulo were analyzed. The categories of the World Health Organization (WHO) composed the criteria adopted for the analysis of the obstetric practices. Fisher's exact test or the likelihood ratio and Student t-test were used. Results: The nurse-midwives mostly used category A practices of the WHO. There were no statistically significant associations between practices and perineal outcomes. There was a statistically significant association between the weight of the newborn and the number of neonatal complications, as well as between the delivery position of the primiparous women and clavicle fractures of the newborns. Conclusion and Implications for the practice: Evidence-based practices were followed by the nurse-midwives in the NBC analyzed. The maternal and neonatal outcomes were adequate. There is a need to improve care in the second stage of the delivery in order to avoid behaviors that reflect in neonatal complications. The study makes it possible to reflect on the importance of the continuous evaluation of the care provided.

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Labor stimulation with oxytocin: effects on obstetrical and neonatal outcomes

Cited by 43 publications

References 21 publications

Associação entre fatores maternos e neonatais e o Apgar em recém-nascidos de risco habitual

Associação entre fatores maternos e neonatais e o Apgar em recém-nascidos de risco habitual

Oxytocin administration for induction and augmentation of labour in Polish maternity units– an observational study

Obstetric practices performed by nurse-midwives of a hospital natural birth center

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