| Management of the third stage of labor: a survey of practice among Texas obstetricians. | |
| | |
MedLine Citation:
|
PMID: 7817327 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Available evidence shows that the benefits of routine oxytocic administration in the third stage of labor far outweigh the potential risks. In 1990, T.F. Baskett, MD, reviewed the routine use of oxytocic drugs by Canadian obstetricians in the management of the third stage of labor. With Dr Baskett's permission, we sent a similar questionnaire to 1500 obstetricians in Texas: 1000 practiced in urban areas and 500 practiced in rural areas of the state. Ninety-four percent of Texas obstetricians answering the survey used oxytocics routinely in managing the third stage of labor. However, only 14.9% administered the oxytocics before delivery of the placenta, in contrast to 92.1% who gave oxytocics after the delivery of the placenta. Oxytocin was the chosen oxytocic drug for routine third-stage management (95%) as well as for postpartum hemorrhage (73.3%). Of the physicians surveyed, 55.9% used 15-methyl prostaglandin F2a (Hemabate) to treat postpartum hemorrhage refractory to other drugs within the past year. Of the respondents, 14.3% had managed acute uterine inversion during the past year. Thus, Texas obstetricians use Oxytocin routinely in the management of the third stage of labor, but few are converted to active management. |
| | |
Authors:
|
C A Phillips; R A Kinch |
Related Documents
:
|
10405517 - Hybrid casts: a comparison of different casting materials. 21130217 - The challenges and opportunities of technological approaches to fatigue management. 9360517 - Management of incidental pituitary microadenomas: a cost-effectiveness analysis. 19911537 - Consensual medicine and the therapeutic partnership: reducing the costs of defensive me... 11789687 - Spermicidal activity of seed oil of pongamia glabra. 2525277 - Medicine in the industrial battle: early workers' compensation. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Texas medicine Volume: 90 ISSN: 0040-4470 ISO Abbreviation: Tex Med Publication Date: 1994 Dec |
Date Detail:
|
Created Date: 1995-02-09 Completed Date: 1995-02-09 Revised Date: 2009-11-11 |
Medline Journal Info:
|
Nlm Unique ID: 0051012 Medline TA: Tex Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 44-7 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Tarrant County Hospital District, Fort Worth, Tex. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Attitude of Health Personnel* Canada Carboprost / therapeutic use Family Practice Female Humans Labor Stage, Third* Obstetrics* Oxytocics / administration & dosage Oxytocin / administration & dosage, therapeutic use Placenta Postpartum Hemorrhage / prevention & control Pregnancy Rural Health Texas Urban Health Uterine Diseases / therapy |
| Chemical | |
Reg. No./Substance:
|
0/Oxytocics; 35700-23-3/Carboprost; 50-56-6/Oxytocin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Video technology and the personal computer in the therapy simulator
Next Document: Prevalence of HIV seropositivity among inner-city adolescents in 1988 and 1992.