PP044—Toxicolist – A web-service to improve patient-safety
| Autor: | H. Druid, J. Ahlner |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Pharmacology
medicine.medical_specialty Obstetrics business.industry 02 engineering and technology 030204 cardiovascular system & hematology Induction of labor World health 3. Good health 03 medical and health sciences Patient safety 020210 optoelectronics & photonics 0302 clinical medicine Funding source 0202 electrical engineering electronic engineering information engineering medicine Christian ministry Pharmacology (medical) business |
| Zdroj: | Clinical Therapeutics. 35(8) |
| ISSN: | 0149-2918 |
| DOI: | 10.1016/j.clinthera.2013.07.075 |
| Popis: | 2013 e31 tional and administrative measures on the trend of use of uterotonics during delivery and puerperium. The study was conducted in the city of Novi Sad (350,000 inhabitants), Serbia, in 2012. The results were compared with the earlier data. Patients (or Materials) and Methods: All women giving the birth at Clinic of Gynecology and Obstetrics in Novi Sad during a 1month period in 1988, 1999, 2007, and 2012 were included. Data about use of uterotonics during delivery and puerperium were recorded. Results: The usage of ergot alkaloids for the induction of labor in 1988 decreased from 54.7% in 1988 to 27% in 1999 after the training of doctors about the harmful effects of ergot alkaloids. Significant changes did not occur in 2007 (26.7%). After the decision of the Management of the Clinic of Gynecology and Obstetrics to decrease the use of ergot alkaloids for this indication, the reduction was recorded at 0.5% in 2012. At the same time, the use of oxytocin increased from 62.2% in 1988 to 93.5% in 2012. The use of ergot alkaloids for the prevention of the postpartum hemorrhage after the educational efforts decreased from 96.8% in 1988 to 9% in 1999. During the next 8 years, till 2007, it increased to 69.5% but after the the administrative measures, it was almost completely ceased to 2.8% in 2012. The use of oxytocin decreased after the educational measures, whereas the administrative measures did not bring about any significant reduction for this indication. Conclusion: Our results show the reduced usage of ergot alkaloids in the induction of labor, as well as in the treatment of postpartum hemorrhage as a result of educational and administrative measures. These findings are in accordance to the recommendations of the World Health Organization. Funding Source: This work was supported by the Ministry of Science and Technological Development, Republic of Serbia, project No. 41012. Disclosure of Interest: None declared. |
| Databáze: | OpenAIRE |
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