It would be interesting to see this study replicated with larger numbers. Interesting that the rate of CS was lower in the group which had the oxytocic ceased at 5 cm. Cheers Judy
--- Mary Murphy <[EMAIL PROTECTED]> wrote: > Interesting.. women often as why the "drip" can't be > discontinued once they are in active labour. MM > > > . 20040322-8 For how long should oxytocin be continued > during induction of labour? - BJOG: An International Journal > of Obstetrics and Gynaecology , vol 111, no 4, April 2004, pp > 331-334 Daniel-Spiegel E; Weiner Z; Ben-Shlomo I; et al - > (2004) > OBJECTIVE: To answer the question of whether oxytocin > induction of labour should be discontinued when active labour > begins. DESIGN: We enrolled patients admitted for induction of > labour with oxytocin. Exclusion criteria for induction of > labour included non-vertex presentation, past history of more > than one caesarean delivery, multiple pregnancies, persistent > non-reassuring fetal heart rate before induction of labour and > estimated fetal weight of more than 4250 g. SETTING: > Department of Obstetrics and Gynecology, Ha'Emek Medical > Center, Afula, Israel. POPULATION: Patients who were admitted > for induction of labour in Ha'Emek Medical Center from 1st > February 1998 to 29th February 2000. METHODS: Patients were > randomly divided into two groups. In group A, infusion of > oxytocin was incremental until 5 cm dilation and maintained at > the same level from that point throughout the labour. In group > B, infusion of oxytocin was incremental but was discontinued > when cervical dilatation reached 5 cm. Comparison between the > two groups was made using Wilcoxon rank-sum test and Fisher's > exact test. MAIN OUTCOME MEASURE: Primary outcome variable was > duration from induction to delivery. The secondary outcome > variables included: duration of labour stages, maximal dosage > and total amount of oxytocin used, the use of analgesia, > abnormalities in fetal heart rate and episodes of uterine > hyperstimulation. We also recorded mode of delivery, together > with maternal and neonatal outcome. RESULTS: One hundred and > four patients participated in this study. The active phase of > labour was shorter in group B compared with group A, but this > difference was not statistically significant (2.6 +/- 2 vs 3.3 > +/- 2.9, P= 0.07). In group A there were six caesarean > deliveries and in group B only three. No significant > differences were found when the other outcome parameters were > compared. CONCLUSIONS: There is no advantage in continuing > oxytocin infusion after the onset of active labour. (18 > references) (Author) > Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
