Stopping Oxytocin in Active Labor Rather than Continuing It until Delivery : A Viable Option for the Induction of Labor

Seema Chopra; Sengupta , Sandip K.; Vanita Jain; Parveen Kumar

doi:10.5001/omj.2015.66

Article Details

Stopping Oxytocin in Active Labor Rather than Continuing It until Delivery : A Viable Option for the Induction of Labor

Authors:

Seema Chopra | Sengupta , Sandip K. | Vanita Jain | Parveen Kumar

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2015 Vol.30 Issue 5, pp.320-325

Document Type:

Article

Publication Date:

9/2015

Document Language:

English

Document ID (Org No.):

70143

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2015.66

Descriptors:

Keywords:

Abstract:

 Objective: Induction of labor (IOL), using intravenous oxytocin, is the artificial initiation of labor before its spontaneous onset for the purpose of delivery of the fetoplacental unit. Although there are various studies looking at dosages of oxytocin, only a few have addressed the issue of discontinuation of oxytocin in the active stage of labor. Thus, our study was conducted to evaluate the need for continuation versus discontinuation of oxytocin during active labor.
Methods: This prospective, randomized controlled trial included 106 women who needed IOL. Oxytocin infusion was initiated at a rate of 3mIU/min and was incremental until 4–6cm cervical dilation. At this point the patients were randomly assigned into one of two groups. In group one, oxytocin was discontinued, and infusion was continued with 0.9% sodium chloride solution. In group two, oxytocin was continued at the same dose until delivery.
Results: The duration of oxytocin infusion was 5.5 hours in the oxytocin discontinuation group and 11.0 hours in oxytocin continuation group (p<0.001). The total dose of oxytocin was significantly higher in group two (6.1 units vs. 16.5 units; p=<0.001). The induction-delivery interval was significantly less in group one (9.1 and 11.2 hours in group one and group two, respectively; p=0.023).
Conclusion: Oxytocin discontinuation in the active stage of labor did not prolong the active stage. The total duration of labor and total oxytocin dose were significantly less in the oxytocin discontinuation group. Our results suggest that oxytocin discontinuation is an alternative and viable option particularly in resource poor and economically challenged settings. It not only reduces the need for intense monitoring and prolonged oxytocin use-associated dangers but reduces the total cost of labor management.

Article Details

Stopping Oxytocin in Active Labor Rather than Continuing It until Delivery : A Viable Option for the Induction of Labor

Authors:

Seema Chopra | Sengupta , Sandip K. | Vanita Jain | Parveen Kumar

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2015 Vol.30 Issue 5, pp.320-325

Document Type:

Article

Publication Date:

9/2015

Document Language:

English

Document ID (Org No.):

70143

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2015.66

Descriptors:

OXYTOCIN

INDUCTION

SPONTANEOUS CULTURES

OBSTETRICS

MONITORING

Oxytocin

Labor Stage

First

Labor

Obstetric

Labor

Induced

Issues

Article Details

Authors: Seema Chopra | Sengupta , Sandip K. | Vanita Jain | Parveen Kumar

Publisher: Oman Medical Specialty Board

Main Topics: Medicine

Journal: Oman Medical Journal 2015 Vol.30 Issue 5, pp.320-325

Document Type: Article

Publication Date: 9/2015

Document Language: English

Document ID (Org No.): 70143

Frequency: Bi-Monthly

eISSN: 20705204

pISSN: 1999768X

DOI: 10.5001/omj.2015.66

Descriptors:

Issues

Authors:

Seema Chopra | Sengupta , Sandip K. | Vanita Jain | Parveen Kumar

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2015 Vol.30 Issue 5, pp.320-325

Document Type:

Article

Publication Date:

9/2015

Document Language:

English

Document ID (Org No.):

70143

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2015.66