CLINICAL EXPERIENCE OF OXYTOCIN USE DURING SPONTANEOUS LABOR: A SURVEY OF MIDWIVES' PRACTICES IN THE BASIC MATERNITY UNITS OF KINDU
The administration of oxytocin during spontaneous labor is a common practice in the maternity hospitals of Kindu, but its practice by midwives in the province of Maniema in general and in the city of Kindu in particular is still problematic. The objective of this study was to identify the usual practices of midwives in Kindu maternity hospitals regarding the use of oxytocin during spontaneous labor. This was a descriptive cross-sectional study of 14 practicing midwives working in five maternity hospitals in Kindu, Maniema Province in Democratic Republic of Congo. We considered all of their staff because of their limited number (n = 14). This was an exhaustive non-probability sample. Inclusion criteria
- Being a midwife;
- To work in one of the maternity units targeted by the study
Any provider not meeting these criteria was not included in the study.
Data were collected using a questionnaire with 9 open and closed questions, encoded on Excel sheets and exported to STATA 14 software and processed using relative frequency calculations (percentages). Through this study, we found that midwives in the basic maternity hospitals of Kindu were performing acts contrary to the recommended scientific standards for the use of oxytocin during spontaneous labor. The vast majority of them (92.86%) did not know what to do in the event of cervical changes and/or 5 uterine contractions per 10 minutes; did not record the indication for oxytocin administration in the obstetrical record (78.57%); did not have a protocol for oxytocin use in their maternity units (57.14%) and did not have appropriate equipment for oxytocin administration
 Bandura (1986) Social foundations of thought and action. Printice. Hall, Englewood.46 p 157-162
 Belghiti, Kayem, Dupont and Rudigoz (2011) Oxytocin during labour and risk of severe postpartum haemorrhage: a population-based, cohort-nested case–control study. Reproductive medicine, obstetrics and gynaecology
 Binfa (2016), Evaluation de la mise en œuvre du Modèle de service des sages-femmes intégrés et humanisés au Chili care for women and babies to improve health and well-being. Gynecology Obstetrics
 Cecile Thibert http://santé.lefigaro.fr/article/trop-d-accouchements-acceleres-a-tort/Cecile. Publié le 8 décembre 2016 à 18H42, accessed on Wednesday,
 CIANE (2012), Press release: labour induction and acceleration: information and consent to be reviewed; survey of 4,400 women. Available at: http//ciane.net/wordpress/wp-
 Coulm and Tessier V (2017) Recommendations for oxytocin administration during spontaneous labor. Midwives Review, Volume 16, Pages 99 – 110
 Duminil and Tazi (2017) Oxytocin use in the delivery room, protocol, Prenatal Network
 Dupont, Carayol, Le Ray, Barasinsi, Beranger and Burguet, (2017). Recommendations for administering oxytocin during spontaneous labor. Short text of the recommendations, Midwives Review, Vol. 16; 1. Pp 111-118.
 Dupont, Carayol, Le Ray, Barasinski, Beranger, Burguet and Chantry (2017). Oxytocin administration during spontaneous labour: Guidelines for clinical practice. Gynecologie Obstétrique Fertilité & Sénologie. Volume 45, pp 56 – 61
 National College of Midwives – Women of France. Press kit.cnsf.asso (on line) December
 Rousseau and Burguet (2017), Recommendations for oxytocin administration during spontaneous labor. Chapter 5: Maternal-fetal risks and adverse effects of oxytocin administration during spontaneous labor. Midwives Review, Vol. 16, pp. 63-82.
 Sailly 2015). Evaluation of professional practices concerning the use of oxytocin in primiparous women in spontaneous labour at the Port Royal maternity hospital. Gynaecology and Obstetrics. Ffdumas-01195772e
 Satin, Leveno, Sherman, Brewster and Cunningham (2009). High versus low-dose oxytocin for labor dition ion Obstetric Gynecol. Vol 80, pages 111-116
 Vogt, Diniz, Tavares, Santos, Schneck, Zorzam, Vieira, Silva, Dias. Characteristics of labor and delivery care in three models of health care within the unified national health system in Belo Horizonte. Saude Publica. Vol. 27, pages 1789-1797.
 [WHO], 2018). WHO recommendations: intrapartum care for a positive birth experience. Geneva, Switzerland:
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