Oxytocin and emergency caesarean section in a mediumsized hospital in Pakistan: A cross-sectional study

Mirjam Lukasse, Mirjam Lukasse and Ingrid Hovda, Ingrid Hovda and Sara Thommessen, Sara Thommessen and Marian Morrison, Marian Morrison (2020) Oxytocin and emergency caesarean section in a mediumsized hospital in Pakistan: A cross-sectional study. European Journal of Midwifery, 4 (1). pp. 1-10. ISSN 2585-2906

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Abstract

INTRODUCTION One of the most common complications during labor is prolonged labor (dystocia), which is associated with risks for the mother and fetus. Dystocia is usually treated with oxytocin, which is also used to induce labor. Oxytocin may not have the desired effect of progress and can negatively affect the fetus, thus resulting in an emergency caesarean section (CS). The aim of this study was to describe obstetric practice, use of oxytocin and its association with an emergency CS. METHODS A cross-sectional retrospective register study was conducted that included all women who gave birth during 2014 and 2015 at a hospital in a large city in Pakistan. RESULTS A total of 6652 women gave birth to 6767 newborns, 66.8% were multiparous and 33.2% primiparous women. Of the primiparous women, 78.9% had a spontaneous vaginal birth, 1.2% an elective CS and 14.4% an emergency CS. Of the multiparous women, 81.9% had a spontaneous vaginal birth, 8.0% an elective CS and 6.7% an emergency CS. Operative vaginal birth was 2.1% among primiparous and 0.2% among multiparous women. Oxytocin for induction or augmentation was administered to 60.0% of primiparous and 30.5% of multiparous women. Oxytocin during the first stage of labor was associated with an increased risk for emergency CS for both primiparous and multiparous women. CONCLUSIONS Despite the association between oxytocin and emergency CS, the CS rate was low in this hospital. The majority of the women gave birth vaginally, even with a breech presentation. Few operative vaginal births were performed.

Item Type:	Article
Uncontrolled Keywords:	caesarean section, oxytocin, obstetric practice, Low-MiddleIncome countries, Pakistan
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	04 Jul 2022 00:42
Last Modified:	04 Jul 2022 00:42
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1209

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