{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T10:50:03Z","timestamp":1791802203607,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,6,21]],"date-time":"2011-06-21T00:00:00Z","timestamp":1308614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2011,6,21]],"date-time":"2011-06-21T00:00:00Z","timestamp":1308614400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate a multifaceted intervention for effectiveness in increasing the use of prophylactic oxytocin by birth attendants (obstetricians, midwives, and nurses) working in small maternity hospitals in Argentina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A before\u2010and\u2010after quasi\u2010experimental study was conducted in 5 small maternity hospitals. The study intervention consisted of training birth attendants in the active management of the third stage of labor, distributing oxytocin in Uniject (Hipofisina BIOL Uniject; Laboratorios BIOL, Buenos Aires, Argentina), and using posters as reminders. The primary outcome was the rate of prophylactic oxytocin use in the 6 months before and the 6 months of the intervention period. Secondary outcomes included use of controlled cord traction and uterine massage, and birth attendants' acceptance of the use of oxytocin in Uniject.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The use of prophylactic oxytocin showed a median rate of 14.6% at baseline and 85.6% during the intervention period. 96% of birth attendants reported that the Uniject device facilitated oxytocin 1administration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Prophylactic oxytocin in the third stage of labor is a beneficial intervention with current low use, particularly in low\u2010 and middle\u2010income countries. If the results shown in the present study were further replicated, this strategy could be an effective method for improving prophylactic oxytocin use in other similar Latin American hospitals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2011.05.003","type":"journal-article","created":{"date-parts":[[2011,6,26]],"date-time":"2011-06-26T18:45:30Z","timestamp":1309113930000},"page":"184-189","source":"Crossref","is-referenced-by-count":21,"title":["Using Uniject to increase the use of prophylactic oxytocin for management of the third stage of labor in Latin America"],"prefix":"10.1002","volume":"114","author":[{"given":"Fernando","family":"Althabe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agustina","family":"Mazzoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda L.","family":"Cafferata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luz","family":"Gibbons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel","family":"Karolinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Armbruster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Buekens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 M.","family":"Beliz\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Oxytocin in Uniject Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,6,21]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"MPS Technical Update: Prevention of Postpartum Hemorrhage by Active Management of Third Stage of labor","author":"WHO","year":"2006"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"issue":"49","key":"e_1_2_6_4_2","first-page":"76","article-title":"Joint statement: management of the third stage of labour to prevent post\u2010partum haemorrhage","volume":"1","author":"International Confederation of Midwives (ICM)","year":"2004","journal-title":"J Midwifery Womens Health"},{"key":"e_1_2_6_5_2","volume-title":"WHO Recommendations for the Prevention of Postpartum Haemorrhage","author":"WHO","year":"2006"},{"issue":"3","key":"e_1_2_6_6_2","first-page":"CD000007","article-title":"Active versus expectant management in the third stage of labour","author":"Prendiville W.J.","year":"2000","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"e_1_2_6_7_2","first-page":"CD001808","article-title":"Prophylactic use of oxytocin in the third stage of labour","author":"Elbourne D.R.","year":"2001","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"e_1_2_6_8_2","first-page":"CD000494","article-title":"Prostaglandins for prevention of postpartum haemorrhage","author":"G\u00fclmezoglu A.M.","year":"2004","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_9_2","unstructured":"POPPHI.Global Active Management in the Third Stage of Labor (AMTSL) Survey Reports. 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