After one year, oxytocin use remained high at the hospitals receiving the instruction (73.4 percent) and low in the control hospitals (7.1 percent.). Similarly, after a year, the episiotomy rate at hospitals receiving the instruction was 28.1 percent and 45.1 percent in the control hospitals.
Because the change in oxytocin use was much larger than the change in episiotomy use, the researchers suggested that getting health professionals to adopt a new practice may be easier than getting them to eliminate an established practice.

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