Titration of Intravenous Oxytocin Infusion for Postdates Induction of Labor Across Body Mass Index Groups

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
Angela B MaederC Sue Carter

Abstract

To evaluate whether oxytocin titration for postdates labor induction differs among women who are normal weight, overweight, and obese and whether length of labor and birth method differ by oxytocin titration and body mass index (BMI). Retrospective cohort study. U.S. university-affiliated hospital. Of 280 eligible women, 21 were normal weight, 134 were overweight, and 125 were obese at labor admission. Data on women who received oxytocin for postdates induction between January 1, 2013 and June 30, 2013 were extracted from medical records. Oxytocin administration and labor outcomes were compared across BMI groups, controlling for potential confounders. Data were analyzed using χ2, analysis of variance, analysis of covariance, and multiple linear and logistic regression models. Women who were obese received more oxytocin than women who were overweight in the unadjusted analysis of variance (7.50 units compared with 5.92 units, p = .031). Women who were overweight had more minutes between rate changes from initiation to maximum than women who were obese (98.19 minutes compared with 83.39 minutes, p = .038). Length of labor increased with BMI (p = .018), with a mean length of labor for the normal weight group of 13.96 hours (standa...Continue Reading

Citations

Jan 17, 2019·Journal of Midwifery & Women's Health·Jessica A EllisNicole S Carlson
Dec 31, 2020·Journal of Midwifery & Women's Health·Cecilia M JevittDiana R Jolles
Aug 12, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Kathleen Rice Simpson
Feb 23, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ashley N BattarbeeDavid M Stamilio
Aug 12, 2020·Nursing for Women's Health·Kathleen Rice Simpson

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