Use and abuse of oxytocin for augmentation of labor

Selin, Lotta; Almström, Elisabeth; Wallin, Gunnar; Berg, Marie

doi:10.3109/00016340903358812

Cited by 81 publications

(53 citation statements)

References 26 publications

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“…The attribution of effect is therefore controversial. For example, in the local setting, an earlier local retrospective observational study about use and misuse of oxytocin [24] was highlighted during the process as one of many articles that were shared and discussed about routines and behaviours. Despite the controversy over attribution of effect, change did happen during the AR study.…”

Section: Study Limitationsmentioning

confidence: 99%

Routine interventions in childbirth before and after initiation of an Action Research project

Nyman

Roshani

Berg

et al. 2017

Sexual & Reproductive Healthcare

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Acknowledgements 2We acknowledge the contribution of the midwives who co-created the data through their action learning sets, and the Fyrbodal Research and Development Council Region Västra Götaland, Sweden for financial support of this research. AbstractBackground: Unnecessary routine interventions in uncomplicated labour and birth, like cardiotocography (CTG), amniotomy, use of scalp electrode and oxytocin treatment, are associated with further interventions that could harm the woman and the infant. A four year Action Research (AR) project was done on a labour ward to enhance the capacity of local midwives in the promotion of physiological labour and birth.

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Section: Study Limitationsmentioning

confidence: 99%

Routine interventions in childbirth before and after initiation of an Action Research project

Nyman

Roshani

Berg

et al. 2017

Sexual & Reproductive Healthcare

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“…This may in part be explained by the large number (45 % in each group) of women who used epidural analgesia for labour pain. It is well-known that epidural is associated with an increased use of oxytocin for augmentation (Selin et al, 2009;Eriksen et al, 2011;Kesmodel & Jølving, 2011). Another explanation could be the lack of compliance with the local guidelines at the hospitals where the study was carried out.…”

mentioning

confidence: 93%

“…A descriptive study from Sweden (Svärdby et al, 2007) showed that 70 % of primiparous women were given synthetic oxytocin for augmentation sometime during labour and birth. In a further Swedish study it was shown that augmentation was used in an unstructured manner, where some women were inadequately treated and others were treated unnecessarily (Selin et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

Labour augmentation and fetal outcomes in relation to birth positions: A secondary analysis of an RCT evaluating birth seat births

et al. 2013

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“…Augmentation with synthetic oxytocin may result in uterine hyperstimulation, adverse effects as fetal hypoxia and uterine rupture [6]. For low-income countries to remain on track towards the fifth Millennium Development Goal, evidence-based guideline was required for their health workers to comprehensively improve intrapartum care through appropriate patient selection and use of effective interventions.…”

Section: Introductionmentioning

confidence: 99%

Does Labor Augmentation with Oxytocin Increase the Risk of Postpartum Hemorrhage? A Randomized Controlled Trial

Mansy¹

2017

Clinics Mother Child Health

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Labour augmentation aims to shorten labour so prevent complications related to prolonged labour. There is evidence that a significant proportion of women with uncomplicated pregnancies are subjected to routine augmentation of labour with oxytocin in spite of the general rule that labour augmentation should only be performed for valid indications. Obstetric hemorrhage is one of the leading causes of maternal mortality in developing countries, accounting for 10%-30% of direct maternal deaths. The aim of the study was to compare between labour augmentation with oxytocin and no augmentation on the total volume of blood loss during vaginal delivery. The study included 250 cases admitted to the emergency department in El-Shatby maternity university hospital, group A (Oxytocin group) 125 cases received augmentation by oxytocin infusion using 2.5 IU oxytocin in 500 cc saline with a slow rate of 20-30 drops/minute, group B (Control group) 125 cases received only 500 cc saline. The amount of blood loss during the 3 rd stage of labor and the 1 st hour after delivery of the placenta (4 th stage) have been estimated.Results showed that the total volume of blood loss in group A ranged from 100 to 700 ml with the mean of 230.9 ± 99.3 ml, on the other hand it ranged from 100 to 650 ml with mean of 181.5 ± 83.1 ml in group B. the calculated p value was 0.001, so there was a significant statistical difference between both groups regarding the total volume of blood loss, so we concluded that use of oxytocin in labor augmentation increase the volume of blood loss.

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Use and abuse of oxytocin for augmentation of labor

Cited by 81 publications

References 26 publications

Routine interventions in childbirth before and after initiation of an Action Research project

Routine interventions in childbirth before and after initiation of an Action Research project

Labour augmentation and fetal outcomes in relation to birth positions: A secondary analysis of an RCT evaluating birth seat births

Does Labor Augmentation with Oxytocin Increase the Risk of Postpartum Hemorrhage? A Randomized Controlled Trial

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