title: [Oxytocin administration during labor. Results from the 2010 French National Perinatal Survey].
abstract: OBJECTIVE
  To estimate the frequency of oxytocin administration during labor, in all women in labor, in low-risk women, and in women with a previous cesarean delivery. Our objectives were also to identify characteristics of women and of maternity units associated with this practice in France.
  
  
  METHODS
  Analysis of the 2010 French Perinatal Survey data (n=14,681 women who delivered in continental France). The frequency of oxytocin administration during labor was estimated in all women in labor (n=12,845) and in low-risk women (n=9798). The independent associations between oxytocin administration during labor and characteristics of women and units were quantified with multivariate logistic regression modeling.
  
  
  RESULTS
  Sixty-four percent of laboring women received oxytocin during labor, and 58% of women with a spontaneous onset of labor. In the population of low-risk women with spontaneous labor and epidural, nulliparity and over-weight, as well as the private status and small size of the maternity unit, were independently associated with a more frequent administration of oxytocin during labor.
  
  
  CONCLUSIONS
  Oxytocin administration during labor is very frequent in France, probably beyond classical indications.
authors.affiliation: Inserm UMR S953, unité de recherche épidémiologique en santé périnatale et santé des femmes et des enfants, maternité Port-Royal, 53, avenue de l'Observatoire, 75014 Paris, France; Université Pierre-et-Marie-Curie Paris 6, 75005 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Belghiti
authors.forename: B
authors.initials: B
authors.lastname: Coulm
authors.forename: G
authors.initials: G
authors.lastname: Kayem
authors.forename: B
authors.initials: B
authors.lastname: Blondel
authors.forename: C
authors.initials: C
authors.lastname: Deneux-Tharaux
mesh_terms: D000328:Adult; D005260:Female; D005602:France; D005865:Gestational Age; D019538:Health Care Surveys; D006801:Humans; D007751:Labor, Induced; D007743:Labor, Obstetric; D016015:Logistic Models; D050177:Overweight; D010120:Oxytocics / Q000008:administration & dosage*; D010121:Oxytocin / Q000008:administration & dosage*; D010298:Parity; D011247:Pregnancy
chemical_list: D010120:Oxytocics; D010121:Oxytocin
keywords: Administration d’ocytocine; Augmentation of labor; Conduite du travail; Management of labor; Obstetrics; Obstétrique; Oxytocin administration; Stimulation du travail