2018
DOI: 10.1002/14651858.cd012274.pub2
|View full text |Cite
|
Sign up to set email alerts
|

Discontinuation of intravenous oxytocin in the active phase of induced labour

Abstract: Discontinuing IV oxytocin stimulation after the active phase of labour has been established may reduce caesarean delivery but the evidence for this was low certainty. When restricting our analysis to those trials that separately reported participants who reached the active phase of labour, our results showed there is probably little or no difference between groups. Discontinuing IV oxytocin may reduce uterine tachysystole combined with abnormal FHR.Most of the trials had 'Risk of bias' concerns which means tha… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
1
1

Citation Types

5
39
1
1

Year Published

2019
2019
2024
2024

Publication Types

Select...
7
2

Relationship

1
8

Authors

Journals

citations
Cited by 30 publications
(46 citation statements)
references
References 34 publications
5
39
1
1
Order By: Relevance
“…With few exceptions, the oxytocin infusion was continued in all the observed labours, despite the national guidelines, [35] and information in Summary of Product Characteristics for Oxytocin, [14] stating that the infusion may be discontinued when labour becomes established, i.e., when cervical dilatation reaches 5 cm. In the light of the latest reports that show the bene t of discontinuing the infusion once established labour is achieved [48,49], observed practices require further analysis.…”
Section: Discussionmentioning
confidence: 99%
“…With few exceptions, the oxytocin infusion was continued in all the observed labours, despite the national guidelines, [35] and information in Summary of Product Characteristics for Oxytocin, [14] stating that the infusion may be discontinued when labour becomes established, i.e., when cervical dilatation reaches 5 cm. In the light of the latest reports that show the bene t of discontinuing the infusion once established labour is achieved [48,49], observed practices require further analysis.…”
Section: Discussionmentioning
confidence: 99%
“…During the early postpartum (lactation) period, endogenous OT levels are generally elevated due to increased cerebral OT in order to buffer stress reactivity (e.g., Bell et al 2014;Cox et al 2015;Grewen et al 2010) with reduced perception of negative environmental stimuli (Altemus et al 2001;Heinrichs et al 2001). Intravenous OT administration for augmentation of labor is a frequently performed obstetric intervention (i.e., 25%) in most Western countries (Boie et al 2018). However, it has been postulated that this might interfere with normal neurobiological adaptations around birth, thereby potentially affecting maternal and infant mental health.…”
Section: Endogenous and Exogenous Ot In The Peripartum Periodmentioning
confidence: 99%
“…Pre-labor practices that have been associated with reduced likelihood of cesarean birth include choosing individual care providers and birth settings with lower cesarean rates, choosing types of care providers and birth settings with lower cesarean rates (e.g., midwives and birth centers), childbirth training workshops, being physically active and staying fit during pregnancy, arranging for the labor support of a doula and attempting external cephalic version with non-cephalic presentation at term [4][5][6][7][8]. After the onset of labor, factors that have been associated with reduced likelihood of cesarean birth include: delaying hospital admission until labor is well established, continuous labor support by someone in a doula role, intermittent auscultation rather than either on-admission or continuous electronic fetal monitoring, discontinuation of synthetic oxytocin for induction after onset of labor, avoiding labor epidural (associated with cesarean for non-reassuring fetal heart status), remaining upright and mobile during the first stage of labor versus lying in bed, and following guidelines related to cervical status and elapsed time for use of synthetic oxytocin and cesarean birth [7,[9][10][11][12][13][14]. Clinician interventions associated with lower likelihood of cesarean birth include clinical practice guidelines coupled with education by opinion leaders, audit and feedback, or mandatory second opinion [3,15,16].…”
Section: Introductionmentioning
confidence: 99%