Maternal outcomes before and after new oxytocin protocol at cesarean delivery.

Abstract

The primary objective was to describe the incidence of post-partum hemorrhage at cesarean delivery before and after implementation of a new high dose oxytocin protocol at Chris Hani Baragwanath Academic Hospital. This was a cross sectional retrospective record review 3months before and 3months after the implementation of a high dose oxytocin protocol. The study included all women that underwent cesarean delivery between 1 November 2016 and 30 April 2017 with a gestation of >24weeks. A total of 4604 Cesarean deliveries were performed during the study period, 2162 before the implementation of the new protocol and 2442 after. The incidence of post-partum hemorrhage was 4.8% (n=91) in the Before group and 3.9% (n=89) in the After group (P=0.17). There was a 17.9% change in incidence of postpartum hemorrhage between the groups (P=0.17). There was no significant difference in uterine atony between the Before and After groups (21.8% and 30.1%, P=0.30). There was no difference in the incidence of postpartum hemorrhage at cesarean delivery after the implementation of a high dose oxytocin protocol.