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Comparative study between continuous use of oxytocin infusion throughout the active phase of labor versus its discontinuation and its effect on the course of labor

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Obstetrics and Gynecology

Advisors

Shehata, Muhammad H. , Gaafar, Hasan M.

Authors

Rashwan, Ahmad Samir Sayed Ahmad

Accessioned

2017-07-12 06:42:02

Available

2017-07-12 06:42:02

type

M.Sc. Thesis

Abstract

Oxytocin is the drug of choice for labor induction when the cervical examination shows that the cervix is favorable. This work is done to investigate the effects of discontinuing oxytocin infusion on labor progress versus its usage, once the active phase of labor is established during induction of labor. This is a prospective randomized study involving 200 pregnant women divided into two groups who underwent labor induction in Kasr Al Aini Maternity hospital. The main outcome measure of this study was to compare the duration of labor from the start of induction till delivery time. Also, we aimed in this study to assess and compare the effect of labor induction using oxytocin on patients regarding dose of oxytocin, dose and need for analgesia, mode of delivery, abnormalities in fetal heart rate and occurrence of uterine hyperstimulation. We concluded that there is no need to continue oxytocin infusion after the establishment of active phase of labor. However, there is increase in the duration of labor or delivery mean time after discontinuing the infusion. Finally, this new protocol significantly decreases the incidence of uterine hyperstimulation and fetal distress which may result from oxytocin infusion and may decrease cesarean delivery rate due to oxytocin complications and as a result this protocol may be an alternative for labor induction or augmentation in our country especially when facilities for rapid intervention are not available such as in rural hospitals or unequipped hospitals.

Issued

1 Jan 2010

DOI

http://dx.doi.org/10.21473/iknito-space/37436

Details

Type

Thesis

Created At

31 Jan 2023