Format

Send to

Choose Destination
See comment in PubMed Commons below
Midwifery. 2014 Sep;30(9):975-82. doi: 10.1016/j.midw.2014.06.005. Epub 2014 Jul 1.

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

Author information

1
School of Nursing and Midwifery, Trinity College Dublin, 24 D׳Olier St, Dublin 2, Ireland. Electronic address: cbegley@tcd.ie.
2
Midwifery Research and Education Unit, Department of Obstetrics, Gynaecology and Reproductive Medicine, Hannover Medical School, Hannover, Germany.
3
Gothenburg Centre for Person-Centred Care (GPCC), Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
4
School of Nursing and Midwifery, National University of Ireland Galway, Ireland.

Abstract

OBJECTIVES:

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.

DESIGN:

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.

FINDINGS:

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.

KEY CONCLUSIONS:

outcomes used to measure the effectiveness of oxytocin for treatment of delay in labour are heterogeneous and tend to focus on adverse events.

IMPLICATIONS FOR PRACTICE:

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.

KEYWORDS:

Core outcomes; Delay in labour; Health focus; Oxytocin; Salutogenesis; Systematic review

PMID:
25017174
DOI:
10.1016/j.midw.2014.06.005
[Indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center