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Pharmacotherapy in the perinatal period--an exploratory study in midwifery
H Tobi1, E Schirm, A M Verdegaal
1University of Groningen, The Netherlands.
Objective:
To gather information on the adherence to the Dutch national neonatal vitamin K policy and on the administration of prescription medication during labor by community midwives.
Methods:
A telephone questionnaire under community midwives in the North of the Netherlands.
Results:
In the main, the vitamin K practices follow the guidelines with respect to who receives the first dose and maintenance therapy. There is possibly underdosing. Midwives use their license to administer medicines during labor in moderation: 91% report to never use tocolytics, oxytocics or analgesics.
Conclusion:
In general, the national vitamin K policy is followed. Information gathered prospectively is needed on the use of pharmacotherapy by community midwives in the perinatal period.