Temporalities of oxytocin for labour augmentation: a mixed-methods study of time factors shaping labour practices in a busy maternity unit in Tanzania

Time scarcity in the labour ward often made birth attendants deviate from clinical guidelines for labour augmentation with oxytocin. Efforts to navigate time pressure resulted in too many women with uncomplicated labour progression receiving oxytocin with little monitoring of labour. Fear of prolonged labour and low alertness to oxytocin-mediated risks were crucial drivers. These findings call for research into safety and benefits of oxytocin in low-resource settings and interventions to address congestion in labour wards to prevent using oxytocin as a time-management tool.

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Publication Details

Journal
BMC Pregnancy and Childbirth
Published
2024-08-29
DOI
https://doi.org/10.1186/s12884-024-06717-3
Citations
4
Primary Topic
Maternal and Perinatal Health Interventions
Type
article
Field-Weighted Citation Impact
2.33

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article

Temporalities of oxytocin for labour augmentation: a mixed-methods study of time factors shaping labour practices in a busy maternity unit in Tanzania

Eunice Pallangyo, brenda dmello, Morten Skovdal, Monica Lauridsen Kujabi et al.
4 citations
BMC Pregnancy and Childbirth
Maternal and Perinatal Health Interventions
2.33
article

Temporalities of oxytocin for labour augmentation: a mixed-methods study of time factors shaping labour practices in a busy maternity unit in Tanzania

Eunice Pallangyo, brenda dmello, Morten Skovdal, Monica Lauridsen Kujabi, Flemming Konradsen, Luzango Maembe, Nanna Maaløe, Thomas van den Akker, Jos van Roosmalen, Jane Brandt Sørensen, Kidanto Hussein, Daniel Nkungu
article en
4 citations

Abstract

Time scarcity in the labour ward often made birth attendants deviate from clinical guidelines for labour augmentation with oxytocin. Efforts to navigate time pressure resulted in too many women with uncomplicated labour progression receiving oxytocin with little monitoring of labour. Fear of prolonged labour and low alertness to oxytocin-mediated risks were crucial drivers. These findings call for research into safety and benefits of oxytocin in low-resource settings and interventions to address congestion in labour wards to prevent using oxytocin as a time-management tool.

BMC Pregnancy and ChildbirthVol. 24(1)
University of Copenhagen (DK), Leiden University Medical Center (NL), Novo Nordisk Foundation (DK), Hvidovre Hospital (DK), Aarhus University Hospital (DK), Aga Khan Hospital Dar es Salaam (TZ), Copenhagen University Hospital (DK), Muslim University of Morogoro (TZ), Aga Khan University (TZ), Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Laerdal Foundation for Acute Medicine, Muhimbili University of Health and Allied Sciences, University of Health and Allied Sciences
Decent work and economic growth
Openalex Percentile: Top 12%
Maternal and Perinatal Health Interventions
2.33
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