Indian Journal of Obstetrics and Gynecology Research


Drug use pattern in the labor room and adherence to standard treatment guidelines: A prospective cross-sectional study in a tertiary care teaching hospital


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Article Type : Research Article

Author Details: Jui R Shah,Sushma R Shah,Devang Rana*,Supriya D Malhotra

Volume : 6

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 312

Article End Page : 320


Abstract

Introduction: Labor is the natural process which varies greatly in duration, severity and for the risk
involved to the mother and the fetus. Hence this study was planned to study drug use pattern in the labor
room and the extent of adherence of prescribers to standard treatment guidelines available.
Objectives: To study the drug use pattern in the labor room and adherence to the standard treatment
guidelines.
Result: A total of 302 patients were included. Mean no. of the drugs prescribed to the patients was 4.63.
The most commonly used drug in the labor room was Oxytocin followed by Pantoprazole (Proton Pump
Inhibitor) and Cefotaxime (Antibiotic) Regarding adherence, complete adherence was observed in ACOG
Guidelines for induction of labor as well as cervical ripening and dilatation. Around 25.8% adherence
was seen in WHO guideline for cervical dilatation and ripening. No adherence was observed for RCOG
Guidelines for Tocolysis and AWHONN for Analgesia. 2.3% adherence to SOGC guidelines for prevention
of PPH, thus, considering 302 cases- only for use of Misoprostol and Methyl Ergometrine. In 300 patients,
SOGC guidelines regarding the use of Oxytocin for prevention of PPH were not adhered to.
Conclusion: Guidelines are adhered to different extents, high or low in the patient population, which also
points to the fact that national guidelines are the need of the hour.

Keywords: Drug use, Labor, Standard treatment guidelines.

Doi :-https://doi.org/10.18231/j.ijogr.2019.070