- Briefly describe a specific question, or set of related questions, about a health care test or treatment that this program should consider.
TOPIC Oxytocin postpartum defined as exogenous oxytocin administered after birth to prevent postpartum hemorrhage. oWhat categories of women should receive postpartum oxytocin oShould it be routinely administered to all women who give birth oShould it only be administered to those with known risk factors for hemorrhage oWhat are best routes of administration rates durations doses and timing for oxytocin administration after a woman gives birthoDoes administration of oxytocin decrease quantified blood lossoDoes administration of oxytocin after birth improve postpartum hematocritoWomen who give birth in the U.S.oWomen who give birth who have risk factors for postpartum hemorrhageoUnderuse or inappropriate use of postpartum oxytocin could result in more postpartum blood loss and even hemorrhage. oOveruse in terms of which patient groups receive oxytocin and in terms of rates and dosages could result in excess pain. It also could result in excessive blood loss if when the exogenous oxytocin is withdrawn a womans oxytocin receptors are less responsive to her own endogenous oxytocin.
- Describe why this topic is important.
Each year approximately 125000 women in the United States or 2.9 of all births experience postpartum hemorrhage Callaghan Kuklina Berg 2010. Exogenous oxytocin is commonly administered after birth to prevent postpartum hemorrhage.
- How will an answer to your research question be used or help inform decisions for you or your group?
A systematic review may provide answers which will inform practice and contribute to national initiatives targeting maternal mortality and morbidity which have identified postpartum hemorrhage to be a top priority for quality improvement and safety projects in birth settings nationally.
- Other Information About You: (optional)
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- Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)
- professional society
- If you are you making a suggestion on behalf of an organization, please state the name of the organization
- Association of Womens Health Obstetric and Neonatal Nurses AWHONNand American College of NurseMidwives ACNM
- Please tell us how you heard about the Effective Health Care Program
- Collaboration with AHRQ to increase nurses awareness and use of the EHC program.
