Outcome measures in studies on the use of oxytocin for the treatment of delay in labour: A systematic review.
AffiliationSchool of Nursing and Midwifery, Trinity College Dublin, 24 D׳Olier St, Dublin 2, Ireland. Electronic address: firstname.lastname@example.org.
Local subject classificationOXYTOCIN
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CitationOutcome measures in studies on the use of oxytocin for the treatment of delay in labour: A systematic review. 2014: Midwifery
Abstractto 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.
SponsorsFunder: 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.