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    Outcome measures in studies on the use of oxytocin for the treatment of delay in labour: A systematic review.

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    Authors
    Begley, Cecily M
    Gross, Mechthild M
    Dencker, Anna
    Benstoem, Carina
    Berg, Marie
    Devane, Declan
    Affiliation
    School of Nursing and Midwifery, Trinity College Dublin, 24 D׳Olier St, Dublin 2, Ireland. Electronic address: cbegley@tcd.ie.
    Issue Date
    2014-07-01
    Keywords
    PREGNANCY
    PREGNANT WOMEN
    MIDWIFE
    Local subject classification
    OXYTOCIN
    LABOUR
    
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    Citation
    Outcome measures in studies on the use of oxytocin for the treatment of delay in labour: A systematic review. 2014: Midwifery
    Journal
    Midwifery
    URI
    http://hdl.handle.net/10147/323875
    DOI
    10.1016/j.midw.2014.06.005
    PubMed ID
    25017174
    Additional Links
    http://www.sciencedirect.com/science/article/pii/S0266613814001739
    Abstract
    to identify primary and secondary outcome measures in randomised trials, and systematic reviews of randomised trials, measuring effectiveness of oxytocin for treatment of delay in the first and second stages of labour, and to identify any positive health-focussed outcomes used.
    eight relevant citation databases were searched up to January 2013 for all randomised trials, and systematic reviews of randomised trials, measuring effectiveness of oxytocin for treatment of delay in labour. Trials of active management of labour or partogram action lines were excluded. 1918 citations were identified. Two reviewers reviewed all citations and extracted data. Twenty-six individual trials and five systematic reviews were included. Primary and secondary outcome measures were documented and analysed using frequency distributions.
    most frequent primary outcomes were caesarean section (n=15, 46%), length of labour (n=14, 42%), measurements of uterine activity (n=13, 39%) and mode of vaginal birth (n=9, 27%). Maternal satisfaction was identified a priori by one review and included as a secondary outcome by three papers. No further positive health-focussed outcomes were identified.
    outcomes used to measure the effectiveness of oxytocin for treatment of delay in labour are heterogeneous and tend to focus on adverse events.
    it is recommended that, in future randomised trials of oxytocin use for delay in labour, some women-centred and health-focussed outcome measures should be used, which may instil a more salutogenic culture in childbirth.
    Item Type
    Article
    Language
    en
    ISSN
    1532-3099
    Sponsors
    Funder: This paper is part of the work of EU COST Action IS0907: ‘Childbirth Cultures,Concerns,and Consequences:Creating a dynamic EU framework for optimal maternity care’ and was supported by the European Commission under EU COST Action IS0907.
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.midw.2014.06.005
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