| Oxytocin to augment labour during home births: an exploratory study in the urban slums of Dhaka, Bangladesh. | |
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MedLine Citation:
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PMID: 21078056 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: In Bangladesh, the majority of women give birth at home. There is anecdotal evidence that unqualified allopathic practitioners (UAPs) administer oxytocin at home births to augment labour pain. The objective is to explore the use of oxytocin to augment labour pain during home births in an urban slum in Dhaka, Bangladesh. DESIGN: Cross-sectional survey. SETTING: KamrangirChar slum, Dhaka, Bangladesh. POPULATION: Married women with a home birth or who experienced labour at home in the 6 months prior to the survey (n = 463) were interviewed. Twenty-seven UAPs were interviewed to validate women's responses. METHODS: Bivariate and multivariate logistic regressions were used to identify significant predictors of oxytocin use. MAIN OUTCOME MEASURES: Reported use of oxytocin to augment labour pain. RESULTS: Forty-six percent of women reported using medicine or other treatments to augment labour pain, 131 of whom reported using oxytocin (28% of total). Traditional birth attendants were the predominant decision-makers of when to use oxytocin. The medication was provided by a UAP who administered the drug via saline infusion or intramuscular injection. Higher education, lower parity, reported long labour (more than 12 hours), and knowledge of and positive attitudes towards oxytocin were significantly associated with oxytocin use after controlling for other factors. In the validation exercise, there was agreement about the use of oxytocin to augment labour in 22 of 27 cases (82%). CONCLUSIONS: About one-third of women used oxytocin to augment labour pain. This practice has implications for health education as well as future research to assess the impact on adverse maternal and neonatal outcomes. |
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Authors:
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A C Moran; T Wahed; K Afsana |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-09-24 |
Journal Detail:
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Title: BJOG : an international journal of obstetrics and gynaecology Volume: 117 ISSN: 1471-0528 ISO Abbreviation: BJOG Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-16 Completed Date: 2011-03-21 Revised Date: 2011-03-29 |
Medline Journal Info:
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Nlm Unique ID: 100935741 Medline TA: BJOG Country: England |
Other Details:
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Languages: eng Pagination: 1608-15 Citation Subset: AIM; IM |
Copyright Information:
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© 2010 The Authors Journal compilation © RCOG 2010 BJOG An International Journal of Obstetrics and Gynaecology. |
Affiliation:
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Reproductive Health Unit, Public Health Sciences Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh. allisynmoran@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Bangladesh Cross-Sectional Studies Female Home Childbirth / methods* Humans Labor Pain / drug therapy* Labor, Induced / methods* Middle Aged Midwifery / standards Oxytocics* Oxytocin* Poverty Areas Pregnancy Pregnancy Outcome Urban Health Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Oxytocics; 50-56-6/Oxytocin |
| Comments/Corrections | |
Erratum In:
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BJOG. 2011 Feb;118(3):389 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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