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

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 exp...

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Bibliographic Details
Published in:	Midwifery Vol. 31; no. 3; pp. e36 - e42
Main Authors:	Ekelin, Maria, Svensson, Judith, Evehammar, Susanne, Kvist, Linda J.
Format:	Journal Article
Language:	English
Published:	Scotland Elsevier Ltd 01-03-2015
Subjects:	Augmentation Dystocia - drug therapy Female Health Sciences Humans Hälsovetenskap Labor, Induced - nursing Medical and Health Sciences Medicin och hälsovetenskap Midwife Midwifery - methods Midwifery - standards Normal labour Nurse-Patient Relations Nursing Nursing Methodology Research Omvårdnad Oxytocin Oxytocin - therapeutic use Pregnancy Qualitative Research Sweden Sweden Augmentation Oxytocin Midwife Normal labour
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	0266-6138 1532-3099 1532-3099
DOI:	10.1016/j.midw.2014.12.006