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Related Experiment Video

Updated: Jul 5, 2026

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect

Published on: September 22, 2023

A behavioral intervention to improve obstetrical care.

Fernando Althabe¹, Pierre Buekens, Eduardo Bergel

¹Institute of Clinical Effectiveness and Health Policy, Buenos Aires, Argentina. althabef@gmail.com

The New England Journal of Medicine

|May 3, 2008

Summary

This summary is machine-generated.

A multifaceted intervention improved obstetrical practices by increasing oxytocin use and decreasing episiotomies. These positive changes in labor management were sustained post-intervention.

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Area of Science:

Obstetrics and Gynecology
Evidence-Based Medicine
Healthcare Implementation Science

Background:

Implementing evidence-based obstetrical practices presents ongoing challenges.
There is a critical need for effective strategies to disseminate and implement these practices in clinical settings.

Purpose of the Study:

To evaluate the effectiveness of a multifaceted behavioral intervention on obstetrical practices in Argentina and Uruguay.
To assess the impact of the intervention on the prophylactic use of oxytocin and episiotomy rates.

Main Methods:

19 hospitals were randomized to receive a multifaceted behavioral intervention or no intervention.
Intervention included opinion leaders, workshops, skills training, academic detailing, reminders, and feedback.
Outcomes measured included oxytocin use, episiotomy rates, postpartum hemorrhage, and birth attendant readiness to change.

Main Results:

Prophylactic oxytocin use increased significantly in intervention hospitals (2.1% to 83.6%) vs. controls (2.6% to 12.3%).
Episiotomy rates decreased in intervention hospitals (41.1% to 29.9%) while remaining stable in controls (43.5% to 44.5%).
The intervention also reduced postpartum hemorrhage and improved birth attendants' readiness to change.

Conclusions:

A multifaceted behavioral intervention effectively increased prophylactic oxytocin use during the third stage of labor.
The intervention successfully reduced the rates of episiotomy, with sustained effects observed post-intervention.