Advanced

Sense and sensibility: Swedish midwives׳ ambiguity to the use of synthetic oxytocin for labour augmentation.

Ekelin, Maria LU ; Svensson, Judith; Evehammar, Susanne and Kvist, LInda LU (2015) In Midwifery 31(3). p.36-42
Abstract
The use of intravenous artificial oxytocin for augmentation of labour is very common in midwifery care in Sweden. Studies have shown that oxytocin is often administered to women in labour who have no signs of labour dystocia. It was the aim of this study to examine Swedish midwives' views on and experiences of labour augmentation in the context of normal labour. Individual interviews were carried out with 15 midwives from southern Sweden. The material was analysed using qualitative content analysis, which resulted in one theme: sense and sensibility and four main categories: permissible situations, motivating the decision, intervening in the birth process and iatrogenic awareness. The results showed that midwives expressed ambiguity about... (More)
The use of intravenous artificial oxytocin for augmentation of labour is very common in midwifery care in Sweden. Studies have shown that oxytocin is often administered to women in labour who have no signs of labour dystocia. It was the aim of this study to examine Swedish midwives' views on and experiences of labour augmentation in the context of normal labour. Individual interviews were carried out with 15 midwives from southern Sweden. The material was analysed using qualitative content analysis, which resulted in one theme: sense and sensibility and four main categories: permissible situations, motivating the decision, intervening in the birth process and iatrogenic awareness. The results showed that midwives expressed ambiguity about augmentation of labour. They were of the opinion that oxytocin was used very often and sometimes unnecessarily. There is awareness that interventions to augment labour can result in undesirable effects on the birth process. Despite this, deeper discussion of this problem was avoided in the interviews. Further research should focus on the process involved when midwives weigh pros and cons when deciding to augment labour. More knowledge is also needed about the barriers for optimal care in labour that are inherent in health-care systems. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Midwifery
volume
31
issue
3
pages
36 - 42
publisher
Elsevier
external identifiers
  • pmid:25595350
  • wos:000350800300004
  • scopus:84924339924
ISSN
1532-3099
DOI
10.1016/j.midw.2014.12.006
language
English
LU publication?
yes
id
80680c0f-e3b2-4e23-bf93-27d57cb133cd (old id 5040287)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25595350?dopt=Abstract
date added to LUP
2015-02-04 10:24:22
date last changed
2017-07-30 03:26:20
@article{80680c0f-e3b2-4e23-bf93-27d57cb133cd,
  abstract     = {The use of intravenous artificial oxytocin for augmentation of labour is very common in midwifery care in Sweden. Studies have shown that oxytocin is often administered to women in labour who have no signs of labour dystocia. It was the aim of this study to examine Swedish midwives' views on and experiences of labour augmentation in the context of normal labour. Individual interviews were carried out with 15 midwives from southern Sweden. The material was analysed using qualitative content analysis, which resulted in one theme: sense and sensibility and four main categories: permissible situations, motivating the decision, intervening in the birth process and iatrogenic awareness. The results showed that midwives expressed ambiguity about augmentation of labour. They were of the opinion that oxytocin was used very often and sometimes unnecessarily. There is awareness that interventions to augment labour can result in undesirable effects on the birth process. Despite this, deeper discussion of this problem was avoided in the interviews. Further research should focus on the process involved when midwives weigh pros and cons when deciding to augment labour. More knowledge is also needed about the barriers for optimal care in labour that are inherent in health-care systems.},
  author       = {Ekelin, Maria and Svensson, Judith and Evehammar, Susanne and Kvist, LInda},
  issn         = {1532-3099},
  language     = {eng},
  number       = {3},
  pages        = {36--42},
  publisher    = {Elsevier},
  series       = {Midwifery},
  title        = {Sense and sensibility: Swedish midwives׳ ambiguity to the use of synthetic oxytocin for labour augmentation.},
  url          = {http://dx.doi.org/10.1016/j.midw.2014.12.006},
  volume       = {31},
  year         = {2015},
}