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The use and misuse of oxytocin: a study in rural Karnataka, India

BioMed Central
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DOI: 10.1186/1753-6561-6-s1-p12
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The use and misuse of oxytocin: a study in rural Karnataka, India POSTER PRESENTATION Open Access The use and misuse of oxytocin: a study in rural Karnataka, India Baneen Karachiwala1*, Zoe Matthews2, Asha Kilaru1 From First National Conference on Bringing Evidence into Public Health Policy (EPHP 2010) Bangalore, India. 10-11 December 2010 Introduction Poor quality of care remains key constraint to safe motherhood especially for women from poor families in a context of rapid expansion of maternity healthcare services. In India, deliveries at healthcare institutions have increased in last three years. There is evidence that oxytocin is a drug is often mis- used to speed labours (childbirth) in overcrowded labour wards or even in home settings. In India this phenom- enon has not been extensively studied, especially since the expansion of institutional deliveries. To order to study use of oxytocin, we collected information on drugs administered for labour augmentation as part of a prospective study of pregnancy and childbirth in south India. Methods We randomly selected 39 villages across 13 primary health centres in a rural block of Ramnagar district in Karnataka. Subsequently we purposively selected 41 vil- lages located adjacent to villages selected earlier to meet enrolment target. All women who planned to deliver within study area and were in the third trimester of pregnancy were enrolled (642) during 2007-2009. Of the total number of respondents, 501 women deliv- ered at healthcare institutions and 99 at home. We con- ducted in-depth interviews with healthcare providers. Results Healthcare providers revealed that oxytocin was the most commonly available and used drug for labour aug- mentation. Of the women who delivered child at home, 76.4% were administered oxytocin mainly by an Auxili- ary Nurse Midwife (ANM) in the dosage ranging between one to five injections. Most of these women reported that these intramuscularly administered injec- tions were “to increase labo

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