Document Detail


Use and abuse of oxytocin for augmentation of labor.
MedLine Citation:
PMID:  19878049     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the use of oxytocin for augmentation of labor and its relation to labor progress and delivery outcome. DESIGN AND SETTING: A retrospective observational study undertaken in a Swedish hospital during 2000-2001. SAMPLE: Singleton pregnancies at > or = 37 weeks of gestation with cephalic presentation and spontaneous onset of labor. METHODS: Data were collected from 1,263 clinical records. The partogram was used to diagnose labor dystocia (LD). MAIN OUTCOME MEASURES: Prevalence of oxytocin administration, LD and operative delivery. RESULTS: Oxytocin was administered to 55% of the women (75% of primiparas and 38.1% of multiparas); a majority did not meet LD criteria. LD frequency was 19.8% (32.7% in primiparas and 7.4% in multiparas). Oxytocin was started both 'too early' and 'too late' in relation to the diagnosis of LD. Cesarean section (CS) was performed on 17.1% of primiparous and 2.4% of multiparous oxytocin recipients with LD, compared to 2.3 and 1.5%, respectively, of oxytocin recipients without diagnosed LD. CONCLUSIONS: Oxytocin augmentation was undertaken in an unstructured manner; some women were inadequately treated and others were treated unnecessarily. Oxytocin recipients with LD underwent operative delivery to a higher extent than oxytocin recipients without LD, suggesting that the main reason for CS was the underlying problem of LD rather than the oxytocin augmentation itself.
Authors:
Lotta Selin; Elisabeth Almstr??m; Gunnar Wallin; Marie Berg
Related Documents :
16672349 - Gene and protein expression in the myometrium in pregnancy and labor.
23273069 - Association of antithrombin activity with plasma aldosterone concentration and plasma r...
19691259 - Physical activity before and during pregnancy and duration of second stage of labor amo...
424119 - Post-traumatic coma during pregnancy.
16449169 - Use of a doula for labor coaching in a patient with indolent systemic mastocytosis in p...
8113659 - The relationship between head level on admission and mode of delivery in primigravidae.
7154839 - Multiple immunoreactive forms of met- and leu-enkephalin in fetal and neonatal rat brai...
10521119 - Bacterial vaginosis and past chlamydial infection are strongly and independently associ...
14562609 - Reproductive features of the russian vole in laboratory breeding.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  88     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2009  
Date Detail:
Created Date:  2009-12-07     Completed Date:  2010-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  1352-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, NU Hospital Group, Trollh??ttan, Sweden. lotta.selin@vgregion.se
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section
Dystocia / drug therapy*
Female
Humans
Infant, Newborn
Oxytocics / administration & dosage*
Oxytocin / administration & dosage*
Pregnancy
Retrospective Studies
Chemical
Reg. No./Substance:
0/Oxytocics; 50-56-6/Oxytocin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Endoplasmic reticulum-associated degradation of a degron-containing polytopic membrane protein.
Next Document:  Young girls with malignant ovarian germ cell tumors can undergo normal menarche and menstruation aft...