We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Labor augmentation in an Egyptian teaching hospital
- Authors
Khalil, K.; Cherine, M.; Elnoury, A.; Sholkamy, H.; Breebaart, M.; Hassanein, N.
- Abstract
<bold>Objectives: </bold>The study documented facility-based obstetric practices for normal labor in Egypt for the first time, to determine their relationship to evidence-based medicine. This paper describes the labor augmentation pattern observed.<bold>Methods: </bold>176 cases of normal labor were observed by medically-trained observers using a checklist. Ward activities were also documented. Observed women were interviewed postpartum and all findings were shared with the providers for their feedback.<bold>Results: </bold>Labor was augmented in 91% (165) of the labors observed; this was inappropriate for 93% or 154 women. Reasons for inappropriateness were: oxytocin ordered at the first vaginal exam (41%); in spite of intact membranes (36%), at the time of membrane rupture (42%), in spite of good progress (24%), or a combination of these. The monitoring of oxytocin-receiving women and their babies was inadequate.<bold>Conclusions: </bold>Labor augmentation and monitoring deviated from evidence-based guidelines. Obstacles to implementing protocols need to be explored.
- Subjects
EGYPT; LABOR; OBSTETRICS; TEACHING hospitals; ACADEMIC medical centers; COMPARATIVE studies; FETAL monitoring; INDUCED labor (Obstetrics); RESEARCH methodology; MEDICAL cooperation; MEDICAL protocols; OXYTOCIN; PATIENT monitoring; RESEARCH; UTERINE contraction; EVIDENCE-based medicine; EVALUATION research
- Publication
International Journal of Gynecology & Obstetrics, 2004, Vol 85, Issue 1, p74
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/S0020-7292(03)00311-4