A prospective study of the active management of labor in women of high parity.
High parity has been suggested as contra-indication for the use of oxytocin stimulation in labor. The aim of our study was to prospectively evaluate a protocol of oxytocin administration in 130 consecutive low-risk patients having their sixth or subsequent delivery. Induction of labor failed only in 5 cases. No adverse effect on maternal and perinatal outcome was found. We conclude that with the introduction of electronic fetal monitoring and direct recording of uterine activity, oxytocin can be safely used for low-risk grand multiparae.
Laor
D
D
Department of Obstetrics and Gynecology, Bikur Cholim Hospital, Jerusalem, Israel.
Seidman
D S
DS
Yaffe
H
H
Voss
E
E
Diamant
Y Z
YZ
Gale
R
R
D000328:Adult; D002585:Cesarean Section; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D007262:Infusions, Intravenous; D007751:Labor, Induced / Q000379:methods*; D007744:Obstetric Labor Complications / Q000453:epidemiology; D010121:Oxytocin / Q000009:adverse effects*; D010298:Parity; D011247:Pregnancy; D011446:Prospective Studies
D010121:Oxytocin