Induction of labour using a concentrated oxytocin infusion administered in geometric progression in a peristaltic infusion pump.
A new regime for oxytocin titration was introduced into the Labour Ward, Alexandra Hospital, Singapore. It utilises an oxytocin infusion of 10, 20 or 40 mU/ml administered in geometric progression in a peristaltic infusion pump. A total of 91 patients classified according to parity and cervical score were studied. An overall vaginal delivery rate of 92.3% was obtained. The mean induction-delivery time for nulliparous and multiparous patients was 5.3 hrs (+/- 2.6 hrs) and 3.6 hrs (+/- 1.9 hrs) respectively. Almost 90% of patients who had a successful induction required only one pint of infusion. Of those babies who were delivered vaginally, all had an Apgar score of 7 or more at 5 minutes.
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H K
HK
Yeo
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Vengadasalam
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D000328:Adult; D001034:Apgar Score; D036861:Delivery, Obstetric; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007260:Infusion Pumps; D007751:Labor, Induced / Q000379:methods*; D010121:Oxytocin / Q000008:administration & dosage* / Q000493:pharmacokinetics; D010298:Parity; D011247:Pregnancy
D010121:Oxytocin