Immediate Compared With Delayed Oxytocin After Amniotomy Labor Induction in Parous Women

Tan, Peng Chiong; Soe, May Zaw; Sulaiman, Sofiah; Omar, Siti Zawiah

doi:10.1097/aog.0b013e31827e7fd9

Cited by 25 publications

(17 citation statements)

References 21 publications

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“…We believe that our sample size is adequately powered to test our hypothesis on the independent role of phIGFBP‐1 in predicting successful labour induction, using multivariable logistic regression analysis as the statistical tool. Our study population of nulliparas alone is apt, as multiparas undergoing labour induction have a reported 97% vaginal delivery rate and a speedy induction process, with about 96% delivering vaginally within 12 hours of amniotomy to induce labour, rendering predictor systems clinically superfluous for multiparas. We controlled for many known confounding factors in our models.…”

Section: Discussionmentioning

confidence: 99%

Insulin‐like growth factor binding protein 1, Bishop score, and sonographic cervical length: tolerability and prediction of vaginal birth and vaginal birth within 24 hours following labour induction in nulliparous women

Vallikkannu

Lam

Omar

et al. 2016

BJOG

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Section: Discussionmentioning

confidence: 99%

Insulin‐like growth factor binding protein 1, Bishop score, and sonographic cervical length: tolerability and prediction of vaginal birth and vaginal birth within 24 hours following labour induction in nulliparous women

Vallikkannu

Lam

Omar

et al. 2016

BJOG

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“…Other studies established there is no real difference in clinical outcomes between oxytocin administration with ruptured or intact membranes (24). In a 2013 RTC Tan et al concluded that the choice between the two options should take into account local resources and the woman preference (25). Regarding oxytocin administration, the majority of midwives use it following specific protocols (87.8%), always giving it through an infusion pump (65.4%) and monitoring foetal heart rate and contractile activity continuously (96.5%) (table III).…”

Section: Discussionmentioning

confidence: 99%

Dystocia in labour: diagnosis, management and culture of Italian midwives

et al. 2021

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Objective. Dystocia in labour is the most common indication for primary caesarean sections. We have investigated how Italian midwives are informed and aware of the diagnosis of dystocia in labour, which strategies they implement and how their culture can affect clinical decisions. Methods. Purpose-built questionnaire using convenience sampling on a voluntary basis. The research was carried out on a population of Italian midwives. The questionnaire was divided into three macro-areas: socio-demographic information; a clinical case with decision questions; operators' knowledge and clinical choices. Results. 300 questionnaires were collected, and 289 were analysed. 60% of midwives would have not diagnosed active labour before 6 cm of dilation and would have adopted conservative management. 81% would adopt methods such as change of maternal posture, movement, and emotional support to solve dystocia rather than oxytocin and artificial rupture of membranes. 76% is aware that there is no single definition of dystocia, 80% do not know the definition of latent phase. The discussion on dystocia is rarely addressed in a context such as an audit. Conclusions. Culture considered as experience, knowledge, and work context, could affect clinical practice. Most midwives showed interest in the subject by tackling it with a view that was mainly physiological. The need for training and structured discussion meetings is, in any case, important.

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“…We found no significant changes in child death among all treatment regimens. Previous studies reported that pulsatile or delayed OXT regimens were associated with longer labor and more chances of child death [ 9 , 24 ]. Previous studies reported such adverse effects of pulsatile OXT regimen because of large sample size [ 25 ] or lack of proper knowledge or exposure regarding administration of dosage forms [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Increased Frequency, High Dose, and Pulsatile Oxytocin Regimens on Abnormal Labor Delivery

Liu

Yang

2018

Med Sci Monit

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BackgroundThe current guideline for oxytocin regimens in the abnormal labor of delivery is continuous infusion. The objective of the present study was to compare effects and safety measures of various available regimens of oxytocin in abnormal labor delivery.Material/MethodsIn this clinical experimental study, a total of 900 pregnant women admitted for delivery were randomized into 5 group with 162 each. Pregnant women received oxytocin as continuous administration of 16 mU/min (Group I), 1 mU/min (group II), 4 mU/min (group III), 5 mU/min quarter-hourly (group IV), and through a syringe pump (group V). Measurement of the expense of delivery, the ratio of the instrumental delivery, and the other secondary outcome measures was performed to find the best regimen of oxytocin. The 2-tailed paired t test and Mann-Whitney U test following Dunnett’s multiple comparison tests were used at 95% confidence level.ResultsPulsatile delivery had least risk of instrumental delivery as compared to continuous infusion (p<0.0001, q=6.663) and normal-frequency low-dose (p<0.0001, q=5.638) of oxytocin. The time required from infusion to delivery was longer for group II (p=0.001, q=2.925), group IV (p<0.0001, q=4.829), and group V (p<0.0001, q=41.456) than for group I. The expense of delivery was: group I < group II < group IV < group III < group V.ConclusionsHigh-dose and pulsatile preparation of oxytocin had reduced risks of operative delivery vs. continuous administration.

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Immediate Compared With Delayed Oxytocin After Amniotomy Labor Induction in Parous Women

Abstract: I.

Cited by 25 publications

References 21 publications

Insulin‐like growth factor binding protein 1, Bishop score, and sonographic cervical length: tolerability and prediction of vaginal birth and vaginal birth within 24 hours following labour induction in nulliparous women

Insulin‐like growth factor binding protein 1, Bishop score, and sonographic cervical length: tolerability and prediction of vaginal birth and vaginal birth within 24 hours following labour induction in nulliparous women

Dystocia in labour: diagnosis, management and culture of Italian midwives

Effects of Increased Frequency, High Dose, and Pulsatile Oxytocin Regimens on Abnormal Labor Delivery

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