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Effekter av oxytocinbehandling och vätskeintag under förlossning : En randomiserad studie bland förstföderskor i Sverige

by Nilsson, Eva

Abstract (Summary)
The objectives were to compare the effects between early or delayed augmentation with oxytocin during lack of progress in labour and to study the outcome of labour in relation to the intake of oral fluid and/or infusions.Method. The design of the study was a prospective randomized controlled trial where comparison with controls without oxytocin was included. Three hundred and fifty one low-risk nulliparous women were included in the study in which a total number of one hundred and eight were randomly allocated to either of the two randomized groups. Data were collected and analyzed in relation to the outcome of delivery for mother and child.The results showed a difference concerning the length of labour between the two groups early and delayed oxytocin treatment. In the randomized group of early oxytocin treatment the mean shortage of the length of labour was two hours. The same group there was a lager number of children without early skin-to-skin contact with the mother immediately after birth compared to the group with delayed augmentation. The results of the study also indicated a tendency towards a higher frequency of caesarean sections and instrumental vaginal deliveries in the group of women receiving early oxytocin treatment. The amount of fluid intake during delivery differed between the two randomized groups and the controls.Conclusions. Delays in the progress of labour result in a higher frequency of caesarean sections and instrumental deliveries and more affected children. Delays in the progress of labour are shortened with early treatment of oxytocin but with a tendency for less favourable outcome for the mother and the child due to increased number of caesarean sections and instrumental deliveries and more affected children. Lack of progress in labour occurs more often in women using epidural analgesia. Women’s fluid intake during delivery seems to affect the course of labour.Keywords: Oxytocin, delivery, labour, labor, childbirth, labour arrest, augmentation of labour, labour outcome, epidural
Bibliographical Information:

Advisor:

School:Växjö universitet

School Location:Sweden

Source Type:Master's Thesis

Keywords:

ISBN:

Date of Publication:11/13/2006

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