| Oxytocin, excessive uterine activity, and patient safety: time for a collaborative approach. | |
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MedLine Citation:
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PMID: 19209060 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Oxytocin use for induction or augmentation of labor is a common occurrence in labor and delivery, as well as a common source of conflict between obstetric providers and nurses. Allegations regarding inappropriate oxytocin use and excessive uterine activity arise in obstetric litigation in both the United States and abroad, and oxytocin was recently added to the Institute for Safe Medical Practices list of high-alert medications, making oxytocin administration a significant risk management issue. Current efforts at standardization of terminology related to uterine activity, recent research on the relationship of excessive uterine activity to fetal oxygenation and outcome, and clinical success with adoption of standardized oxytocin administration provide clinicians with evidence to create a structured, collaborative approach to oxytocin administration in labor. This article provides a brief overview of relevant literature and suggests strategies for the implementation of such a collaborative approach. |
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Authors:
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Lisa A Miller |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of perinatal & neonatal nursing Volume: 23 ISSN: 1550-5073 ISO Abbreviation: J Perinat Neonatal Nurs Publication Date: 2009 Jan-Mar |
Date Detail:
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Created Date: 2009-02-11 Completed Date: 2009-05-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8801387 Medline TA: J Perinat Neonatal Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 52-8 Citation Subset: N |
Affiliation:
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Perinatal Risk Management and Education Services, St Anthony Hospital, Chicago, Illinois 60618, USA. LisaCNM@comcast.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Evidence-Based Medicine* Female Humans Labor, Induced / adverse effects*, nursing Medical Errors / prevention & control Neonatal Nursing / organization & administration* Oxytocics / adverse effects Oxytocin / administration & dosage, adverse effects* Physician-Nurse Relations Pregnancy Risk Management / organization & administration Safety Management / organization & administration* Total Quality Management / organization & administration Uterine Contraction* / drug effects |
| Chemical | |
Reg. No./Substance:
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0/Oxytocics; 50-56-6/Oxytocin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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