Pratique de la stimulation du travail d'accouchement à l'oxytocine dans la ville de Goma en République Démocratique du Congo

Augmentation of labour with oxytocin is still a common practice in our environment, but remains a high-risk molecule. The purpose of this study was to describe the practice of augmentation of labour with oxytocin in Goma. It was a retrospective study about 412 cases stimulated over a period of 6 month period in three reference hospitals in Goma, eastern Democratic Republic of Congo. The usual descriptive statistics were measured according to whether the variable was qualitative or quantitative. The results reveal an augmentation rate of 54%. The protocol of augmentation of labour with oxytocin protocol was not respected in the majority of cases: the bishop score not evaluated in 56.8% of the stimuli with 91.3% of cases stimulated by a dose of 10 IU diluted in 500 ml and a high flow rate > 9 drops per minute in 15.4% of cases, short intervals of increase < 29 minutes in 18.5% of cases and 90.6% of stimulations were not monitored by tococardiography. Augmentation of labour was more indicated by general practitioners and was monitored by more than half of midwives. Hypokinesia was the main indication. In more than one third of the cases, the increase intervals and the increased drops were not reported. The practice of augmentation of labour with oxytocin in the city of Goma do not meet the standards of the World Health Organization and a study on the maternal-neonatal prognosis after the augmentation of labour with oxytocin proves essential.