J Belghiti1, B Coulm, G Kayem, B Blondel, C Deneux-Tharaux. 1. Inserm UMR S953, unité de recherche épidémiologique en santé périnatale et santé des femmes et des enfants, maternité Port-Royal, 53, avenue de l'Observatoire, 75014 Paris, France; Université Pierre-et-Marie-Curie Paris 6, 75005 Paris, France.
Abstract
OBJECTIVES: To estimate the frequency of oxytocin administration during labor, in all women in labor, in low-risk women, and in women with a previous cesarean delivery. Our objectives were also to identify characteristics of women and of maternity units associated with this practice in France. POPULATION AND METHOD: Analysis of the 2010 French Perinatal Survey data (n=14,681 women who delivered in continental France). The frequency of oxytocin administration during labor was estimated in all women in labor (n=12,845) and in low-risk women (n=9798). The independent associations between oxytocin administration during labor and characteristics of women and units were quantified with multivariate logistic regression modeling. RESULTS: Sixty-four percent of laboring women received oxytocin during labor, and 58% of women with a spontaneous onset of labor. In the population of low-risk women with spontaneous labor and epidural, nulliparity and over-weight, as well as the private status and small size of the maternity unit, were independently associated with a more frequent administration of oxytocin during labor. CONCLUSION: Oxytocin administration during labor is very frequent in France, probably beyond classical indications.
OBJECTIVES: To estimate the frequency of oxytocin administration during labor, in all women in labor, in low-risk women, and in women with a previous cesarean delivery. Our objectives were also to identify characteristics of women and of maternity units associated with this practice in France. POPULATION AND METHOD: Analysis of the 2010 French Perinatal Survey data (n=14,681 women who delivered in continental France). The frequency of oxytocin administration during labor was estimated in all women in labor (n=12,845) and in low-risk women (n=9798). The independent associations between oxytocin administration during labor and characteristics of women and units were quantified with multivariate logistic regression modeling. RESULTS: Sixty-four percent of laboring women received oxytocin during labor, and 58% of women with a spontaneous onset of labor. In the population of low-risk women with spontaneous labor and epidural, nulliparity and over-weight, as well as the private status and small size of the maternity unit, were independently associated with a more frequent administration of oxytocin during labor. CONCLUSION: Oxytocin administration during labor is very frequent in France, probably beyond classical indications.
Keywords:
Administration d’ocytocine; Augmentation of labor; Conduite du travail; Management of labor; Obstetrics; Obstétrique; Oxytocin administration; Stimulation du travail
Authors: Xavier Espada-Trespalacios; Felipe Ojeda; Mercedes Perez-Botella; Raimon Milà Villarroel; Montserrat Bach Martinez; Helena Figuls Soler; Israel Anquela Sanz; Pablo Rodríguez Coll; Ramon Escuriet Journal: Int J Environ Res Public Health Date: 2021-04-20 Impact factor: 3.390