Abstract Objective . To analyze changes in postpartum hemorrhage over a 10‐year period from 1998 to 2007, and explore factors associated with severe hemorrhage. Design Retrospective cohort study, prospectively collected information. Setting Stavanger University Hospital, secondary referral center, Norway. Population An unselected population of 41,365 women giving birth at the hospital. Methods We analyzed time mean hemorrhage, factors. Estimated blood loss >1,000 ml was defined as Data...

Abstract Introduction A protocol including judicious use of oxytocin augmentation was investigated to determine whether it would change how used and eventually influence labor fetal outcomes. Material methods The population this cohort study comprised 20 227 delivering women with singleton pregnancies ≥37 weeks, cephalic presentation, spontaneous or induced onset labor, without previous cesarean section. Women from 2009 2013 at Stavanger University Hospital, Norway, were included. Data...

Objectives Internationally, the 10-Group Classification System (TGCS) has been used to report caesarean section rates, but analysis of other outcomes is also recommended. We now aim present TGCS as a method assess labour and delivery using routine collection perinatal information. Design This research methodological study describe use TGCS. Setting Stavanger University Hospital (SUH), Norway, National Maternity Dublin, Ireland Slovenian Perinatal Database (SLO), Slovenia. Participants 9848...

Postpartum hemorrhage is a major complication associated with pregnancy and delivery leading cause of maternal morbidity mortality. A number recent studies have reported an increasing incidence severe postpartum hemorrhage. It has been suggested that the increased frequency may be related to higher rates obstetric intervention, including cesarean section, induction labor, labor augmentation. This retrospective cohort study evaluated changes in over 10-year period between 1998 2007 at...

As labor induction rates continue to increase, so has the interest in performing an outpatient setting for pregnancies defined as low-risk. Twenty women participated pilot study of a Randomized Controlled Trial (RCT) comparing inpatient and with oral misoprostol. This aimed explore women's experiences their views on this alternative method induction.Semi-structured interviews were conducted, from November 2021 January 2022 eight randomized four induction. Verbatim transcribed analyzed using...

Oxytocin augmentation is essential in labor management, but how to optimize its use still debated. Joint international guidelines regarding prolonged and the of oxytocin are not available. Due potential harmful side effects, a decreased encouraged. We aimed implement structured protocol on observe changes outcomes.The was implemented at Obstetric Department Sørlandet Hospital, Kristiansand, Norway 1 January 2012; therefore, data from hospital were collected prospectively compared for two...

Maternal age is an established risk factor for cesarean section; epidural analgesia and oxytocin augmentation may modify this association. We investigated the effects interactions of augmentation, maternal on section.In all, 416 386 nulliparous women with spontaneous onset labor, ≥37 weeks gestation singleton infants a cephalic presentation during 2000-2011 from Norway Denmark were included [Ten-group classification system (Robson) group 1]. In case-control study main exposure was age;...

( Acta Obstet Gynecol Scand. 2016;95(3):355–361) The use of oxytocin plays an important role in the management labor.

Objective: To validate an intrapartum Cesarean Section Classification System (ICSCS). Design: Nationwide prospective observational study. Setting: Twenty-five Norwegian maternity units Population or Sample: Singleton cephalic pregnancies with spontaneous induced labour at ≥ 37 weeks gestation delivering February-August 2017. Methods: . After training of all collaborators, section (CS) after were classified based on fetal status, dynamic progress in labour, use oxytocin, frequency...

( Acta Obstet Gynecol Scand . 2018;97:872–879) Oxytocin augmentation of labor is often used in the setting dystocia to increase likelihood vaginal delivery, and therefore avoid cesarean section. Increasing maternal age an established risk factor for has been found occur more frequently among women receiving epidural analgesia, authors this study proposed associations may exist oxytocin augmentation, correlation with This examined effects interactions analgesia on section nulliparous women.