Authors: Chioma S Ejekam, Ifeoma P Okafor, Kehinde S Okunade, Uchenna Igbokwe, Jude Nwokike
The use of oxytocin during labor is increasing globally, with wide variations in its administration and unauthorized use by non-medical staff. This study examined how often oxytocin is used, the doses and methods of administration, and what predicts its use by healthcare providers in Nigeria. A cross-sectional survey of 6,299 doctors, nurses/midwives, and community health workers (CHWs) in public and private facilities was conducted. The study found that 66.7% used oxytocin to augment labor, and 52.6% used it to induce labor. Among CHWs, 37.8% used oxytocin for induction and 49% for augmentation. Incorrect administration routes were noted, with 10% using intramuscular injections and 8% using intravenous push. Doctors and those in government facilities were more likely to use the correct doses. CHWs were the most likely to misuse oxytocin. The study highlights concerns over improper oxytocin use during labor in Nigeria, including unauthorized use and incorrect dosing methods.
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Resource Topic: Maternal healthcare
Resource Type: Cross-sectional mixed methods
Year: 2024
Region: Africa
Country: Nigeria
Publisher May Restrict Access: No