[Oxytocin administration during labor. Results from the 2010 French National Perinatal Survey]

Abstract

Objectives: 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.

Population and method: 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.

Conclusion: Oxytocin administration during labor is very frequent in France, probably beyond classical indications.

Keywords: Administration d’ocytocine; Augmentation of labor; Conduite du travail; Management of labor; Obstetrics; Obstétrique; Oxytocin administration; Stimulation du travail.