Volume 85, Issue 1 p. 74-80
Special communication

Labor augmentation in an Egyptian teaching hospital

K. Khalil

Corresponding Author

K. Khalil

The Population Council, Cairo, Egypt

Corresponding author. Tel.: +20-2-525-5967; fax: +20-2-525-5962Search for more papers by this author
M. Cherine

M. Cherine

Galaa Hospital, Cairo, Egypt

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A. Elnoury

A. Elnoury

National Laser Institute, Cairo University, Cairo, Egypt

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H. Sholkamy

H. Sholkamy

American University in Cairo, Cairo, Egypt

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M. Breebaart

M. Breebaart

The Population Council, Cairo, Egypt

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N. Hassanein

N. Hassanein

John Snow International, Cairo, Egypt

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First published: 09 December 2003
Citations: 19

Abstract

Objectives: The study documented facility-based obstetric practices for normal labor in Egypt for the first time, to determine their relationship to evidence-based medicine. This paper describes the labor augmentation pattern observed. Methods: 176 cases of normal labor were observed by medically-trained observers using a checklist. Ward activities were also documented. Observed women were interviewed postpartum and all findings were shared with the providers for their feedback. Results: Labor was augmented in 91% (165) of the labors observed; this was inappropriate for 93% or 154 women. Reasons for inappropriateness were: oxytocin ordered at the first vaginal exam (41%); in spite of intact membranes (36%), at the time of membrane rupture (42%), in spite of good progress (24%), or a combination of these. The monitoring of oxytocin-receiving women and their babies was inadequate. Conclusions: Labor augmentation and monitoring deviated from evidence-based guidelines. Obstacles to implementing protocols need to be explored.