Evidence map›Paper›PMID 21145034›Full record

Trial reportAmerican journal of obstetrics and gynecology2011

Use of oxytocin during early stages of labor and its effect on active management of third stage of labor.

Claudio G Sosa, Fernando Althabe, José M Belizan, Pierre Buekens

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of obstetrics and gynecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 29 citations in OpenAlex.

  1. Does induction or augmentation of labor increase the risk of postpartum hemorrhage in pregnant women with anemia? A multicenter prospective cohort study in India.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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  6. The MANDATE model for evaluating interventions to reduce postpartum hemorrhage.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Claudio G SosaDepartment of Obstetrics and Gynecology, School of Medicine, University of Uruguay, Montevideo, Uruguay. csosa@tulane.edu
Fernando Althabe
José M Belizan
Pierre Buekens
Instituto de Efectividad Clínica y Sanitaria · ARTulane University · USUniversidad de Montevideo · UY

Funding

Evidence-Based Global Health Interventions for Mothers and Children, ArgentinaU01HD040477 · NICHD · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI BUEKENS, PIERRE · 2001 to 2013
$5.6M
Latin American Perinatal Health Training ProgramD43TW005492 · FIC · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI BUEKENS, PIERRE · 2001 to 2005
$820k
Risk factors for medically indicated preterm birth in a Latin American populationR01TW007600 · FIC · FACULTAD DE MEDICINA · PI SOSA, CLAUDIO GERARDO · 2006 to 2010
$258k
FIC NIH HHS D43 TW005492FIC NIH HHS R01 TW007600FIC NIH HHS TW05492NICHD NIH HHS U01 HD040477NICHD NIH HHS U01HD040477
6 · The paper itself

Abstract

objectiveThe purpose of this study was to evaluate whether the use of oxytocin during the first and second stages of labor is associated with a higher incidence of postpartum hemorrhage (PPH) in pregnant women who received active management of third stage of labor (AMTSL). STUDY

designA secondary data analysis from vaginal deliveries in a hospital-based cohort study from 24 maternity hospitals in South America. The primary outcomes that were analyzed were moderate PPH (≥500 mL of blood loss), severe PPH (≥1000 mL of blood loss), and need of blood transfusion.

resultsA total of 11,323 vaginal deliveries were included. The incidence of moderate and severe PPH was 10.8% and 1.86%, respectively. Overall, 36% of deliveries received AMTSL. There was no association between induced/augmented labor and moderate PPH (P = .753), severe PPH (P = .273), and blood transfusion (P = .603) in the population that received AMTSL.

conclusionAMTSL should be recommended, regardless of whether pregnant women received oxytocin during the first and second stages of labor.

Indexed as

AdultDelivery, ObstetricFemaleHumansIncidenceLabor Stage, FirstLabor Stage, SecondLabor Stage, ThirdOxytocicsOxytocinPostpartum HemorrhagePregnancyYoung AdultOxytocicsOxytocin

Identifiers

PMID21145034
PMCPMC3057346
OpenAlexW2095294505

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.