Effect of Midwife Administration of Hyoscine-Butylbromide in Preventing Prolonged Labour among Primigravidal Women in Ogbomoso Oyo-State, Nigeria

Prolonged labour increases risk of maternal fatigue, postpartum haemorrhage, sepsis, andfetal distress. Therefore, proactive midwife intervention aiming at preventing prolongedlabour actively by administering hyoscine-butylbromide (buscopan injection) anantispasmodic agent at the active phase of labour is of great importance for women andmost importantly primigravidal woman in labour who is at higher risk of prolonged labour.This study investigates effect of midwife administration of hyoscine-butylbromide inpreventing prolonged labour among primigravidal women in selected health facilities inOgbomosho, Oyo State, Nigeria. A double blind quasi experimental research design wasadopted in this study involving sixty (60) primigravidal women in labour. Thirty (30) ofwhich were the experimental group and 30 were control group. A self-designed checklistwas used to assess the duration of labour stages and outcomes; while midwife is providingcare to the woman in labour. Inferential statistics such as Pearson correlation was used totest the hypotheses at a significance level of 0.05. The study revealed a significantdifference in the administration of hyoscine-butylbromide on the duration of labourbetween the experimental and control groups P-value 0.023. However, there was nosignificant difference in labour outcomes between groups, P- Value 0.692. It is thereforerecommended that Hyoscine-butylbromide should be included among drugs administeredby midwives, as it has no adverse effects on the mother or fetus and does not significantlyaffect the outcome of labour. Thus, hyoscine-butylbromide should be considered arecommendation for primigravidal women during the active phase of labour to proactivelyprevent prolonged labour.