Cumulative oxytocin dose during induction of labor according to maternal body mass index.
Objective: To determine the cumulative oxytocin dose needed to achieve vaginal delivery among obese and non-obese women.Methods: A retrospective study was undertaken of women with singleton, term (≥37 weeks) pregnancies who delivered at an institution in California, USA, between May 1 and July 31, 2...
| Publicado en: | International Journal of Gynecology & Obstetrics Vol. 131; no. 1; pp. 54 - 59 |
|---|---|
| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2015
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109317521&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109317521 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207292 3LX jtl: International Journal of Gynecology & Obstetrics issn: 00207292 maglogo: N pubinfo: dt: Oct2015 vid: 131 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 109317521 109317521 NLM26210857 109317521 10.1016/j.ijgo.2015.04.038 NLM26210857 109317521 ppf: 54 ppct: 5 formats: tig: atl: Cumulative oxytocin dose during induction of labor according to maternal body mass index. aug: au: Roloff, Kristina Peng, Sheppard Sanchez ‐ Ramos, Luis Valenzuela, Guillermo J. affil: Division of Maternal and Fetal Medicine, Department of Women's Health, Arrowhead Regional Medical Center, Colton, CA, USA sug: subj: Oxytocin Administration and Dosage Obesity Metabolism Delivery, Obstetric Methods Oxytocics Administration and Dosage Female Retrospective Design Labor, Induced Methods Pregnancy Young Adult Adult Body Mass Index Dose-Response Relationship, Drug California Human Adult: 19-44 years Female ab: Objective: To determine the cumulative oxytocin dose needed to achieve vaginal delivery among obese and non-obese women.Methods: A retrospective study was undertaken of women with singleton, term (≥37 weeks) pregnancies who delivered at an institution in California, USA, between May 1 and July 31, 2012. Women were deemed to be obese when their body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) was 30 or above. Cumulative oxytocin doses were calculated for women who achieved vaginal delivery.Results: Overall, 413 women were included. Among 357 women for whom BMI data were available, 204 (57.1%) were obese. Vaginal delivery was achieved in 379 women. Among women who received augmentation after spontaneous labor onset, obese women trended towards more cumulative oxytocin (minimum: 24.7 ± 100.5 mU among women with a BMI of 18.50-24.99; maximum: 1580.5 ± 2530.5 mU among women with a BMI of 35.00-39.99; P=0.086). Women who underwent induction of labor required significantly more oxytocin with increasing BMI class (P<0.001), despite no difference in length of labor.Conclusion: Obese women required a larger cumulative oxytocin dose to achieve vaginal birth during labor induction, but not during augmentation of labor. The physiology of spontaneous labor could supersede or influence the metabolic derangement facing obese patients undergoing induction of labor. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|