Labor augmentation in an Egyptian teaching hospital

Int J Gynaecol Obstet. 2004 Apr;85(1):74-80. doi: 10.1016/S0020-7292(03)00311-4.


Objectives: The study documented facility-based obstetric practices for normal labor in Egypt for the first time, to determine their relationship to evidence-based medicine. This paper describes the labor augmentation pattern observed.

Methods: 176 cases of normal labor were observed by medically-trained observers using a checklist. Ward activities were also documented. Observed women were interviewed postpartum and all findings were shared with the providers for their feedback.

Results: Labor was augmented in 91% (165) of the labors observed; this was inappropriate for 93% or 154 women. Reasons for inappropriateness were: oxytocin ordered at the first vaginal exam (41%); in spite of intact membranes (36%), at the time of membrane rupture (42%), in spite of good progress (24%), or a combination of these. The monitoring of oxytocin-receiving women and their babies was inadequate.

Conclusions: Labor augmentation and monitoring deviated from evidence-based guidelines. Obstacles to implementing protocols need to be explored.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Egypt
  • Evidence-Based Medicine
  • Female
  • Fetal Monitoring
  • Guideline Adherence*
  • Hospitals, Teaching*
  • Humans
  • Labor, Induced*
  • Oxytocin
  • Pregnancy
  • Uterine Monitoring


  • Oxytocin