Evidence map›Paper›PMID 33924137›Full record

ArticleInternational journal of environmental research and public health2021

Oxytocin Administration in Low-Risk Women, a Retrospective Analysis of Birth and Neonatal Outcomes.

Xavier Espada-Trespalacios, Felipe Ojeda, Mercedes Perez-Botella, Raimon Milà Villarroel, Montserrat Bach Martinez, Helena Figuls Soler, Israel Anquela Sanz, Pablo Rodríguez Coll, Ramon Escuriet

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Reducing Unnecessary Medical Interventions in Childbirth: The Need for Community-Based Solutions in Iran.International journal of community based nursing and midwifery · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Use and Effects of Augmentation of Labor with Oxytocin: A Single-Center, Retrospective, Case-Control Study of 4350 Women in Warsaw, Poland, 2015-2020.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  11. Article
  12. Observational
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

9 authors.

Xavier Espada-TrespalaciosDepartment of Obstetrics and Gynecology, Hospital General de Granollers, Avinguda Francesc Ribas s/n, 08402 Granollers, Spain.ORCID 0000-0002-2267-0369
Felipe OjedaDepartment of Obstetrics and Gynecology, Hospital General de Granollers, Avinguda Francesc Ribas s/n, 08402 Granollers, Spain.
Mercedes Perez-BotellaResearch in Childbirth and Health Unit (ReaRH), University of Central Lancashire, Preston PR1 2HE, UK.
Raimon Milà VillarroelSchool of Health Sciences Blanquerna, Universitat Ramon Llull, Carrer Padilla 326, 08025 Barcelona, Spain.
Montserrat Bach MartinezDepartment of Obstetrics and Gynecology, Hospital General de Granollers, Avinguda Francesc Ribas s/n, 08402 Granollers, Spain.
Helena Figuls SolerDepartment of Obstetrics and Gynecology, Hospital General de Granollers, Avinguda Francesc Ribas s/n, 08402 Granollers, Spain.
Israel Anquela SanzSchool of Health Sciences Blanquerna, Universitat Ramon Llull, Carrer Padilla 326, 08025 Barcelona, Spain.
Pablo Rodríguez CollObstetric Care Area, Hospital Germans Trias i Pujol, Carretera de Canyet s/n, 08916 Badalona, Spain.ORCID 0000-0002-9296-4178
Ramon EscurietResearch Group in Global Health, Gender and Society (GHenderS), Universitat Ramon Llull, Carrer Padilla 326, 08025 Barcelona, Spain.ORCID 0000-0002-7277-3331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, higher than the recommended rate of oxytocin use has been observed among low-risk women. This study examines the relationship between oxytocin administration and birth outcomes in women and neonates.

methodsA retrospective analysis of birth and neonatal outcomes for women who received oxytocin versus those who did not. The sample included 322 women with a low-risk pregnancy.

resultsOxytocin administration was associated with cesarean section (aOR 4.81, 95% CI: 1.80-12.81), instrumental birth (aOR 3.34, 95% CI: 1.45-7.67), episiotomy (aOR 3.79, 95% CI: 2.20-6.52) and length of the second stage (aOR 00:18, 95% CI: 00:04-00:31). In neonatal outcomes, oxytocin in labor was associated with umbilical artery pH ≤ 7.20 (OR 3.29, 95% CI: 1.33-8.14). Admission to neonatal intensive care unit (OR 0.56, 95% CI: 0.22-1.42), neonatal resuscitation (OR 1.04, 95% CI: 0.22-1.42), and Apgar score <7 (OR 0.48, 95% CI: 0.17-1.33) were not associated with oxytocin administration during labor.

conclusionsOxytocin administration during labor for low-risk women may lead to worse birth outcomes with an increased risk of instrumental birth and cesarean, episiotomy and the use of epidural analgesia for pain relief. Neonatal results may be also worse with an increased proportion of neonates displaying an umbilical arterial pH ≤ 7.20.

Indexed as

Cesarean SectionOxytocinFemaleHumansInfant, NewbornParturitionPregnancyResuscitationRetrospective StudiesOxytocinbirth outcomelow-risk pregnancyneonatal outcomeobstetric laboroxytocinterm birth

Identifiers

PMID33924137
PMCPMC8074312

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Registered trials

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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.