RT Journal Article
T1 Variability of Clinical Practice in the Third Stage of Labour in Spain
A1 Ortiz Esquinas, Inmaculada
A1 Gómez Salgado, Juan
A1 Pascual Pedreño, Ana I.
A1 Rodríguez Almagro, Julián Javier
A1 Martínez Galiano, Juan Miguel
A1 Hernández Martínez, Antonio
AB Clinical practice guidelines recommend the active management of the third stage of labour,but it is currently unknown what practices professionals actually perform. Therefore, the aim of thisstudy was to determine the variability of professional practices in the management of the third stageof labour and to identify any associated professional and work environment factors. A nationwidecross-sectional study was performed with 1054 obstetrics professionals between September andNovember 2018 in Spain. A self-designed questionnaire was administered online. The crude oddsratios (OR) and adjusted odds ratios (ORa) were estimated using binary logistic regression. The mainoutcome measures were included in the clinical management of the third stage of labour and theywere: type of management, drugs, doses, routes of administration, and waiting times used. Theresults showed that 75.3% (783) of the professionals used uterotonic agents for delivery. Oxytocinwas the most commonly administered drug. Professionals who attend home births were less likely touse uterotonics (ORa: 0.23; 95% confidence interval (CI): 0.12–0.47), while those who completed theirtraining after 2007 (ORa: 1.57 (95% CI: 1.13–2.18) and worked in a hospital that attended >4000 birthsper year (ORa: 7.95 CI: 4.02–15.72) were more likely to use them. Statistically significant di erenceswere also observed between midwives and gynaecologists as for the clinical management of this stageof labour (p < 0.005). These findings could suggest that there is clinical variability among obstetricsprofessionals regarding the management of delivery. Part of this variability can be attributed toprofessional and work environment factors.
PB MDPI
SN 2077-0383
YR 2019
FD 2019-05
LK http://hdl.handle.net/10272/16529
UL http://hdl.handle.net/10272/16529
LA eng
NO Ortiz Esquinas, I., Gómez Salgado, J., Pascual Pedreño, A. I., Rodríguez Almagro, J., Martínez Galiano, J. M.,  Hernández Martínez, A. (2019). Variability of Clinical Practice in the Third Stage of Labour in Spain. Journal of Clinical Medicine, 8(5), 637. DOI: https://doi.org/10.3390/jcm8050637
DS Repositorio Institucional de la Universidad de Huelva
RD 30 may 2026