4.3 Review

Examination of the Pharmacology of Oxytocin and Clinical Guidelines for Use in Labor

Journal

JOURNAL OF MIDWIFERY & WOMENS HEALTH
Volume 62, Issue 4, Pages 425-433

Publisher

WILEY
DOI: 10.1111/jmwh.12610

Keywords

augmentation of labor; fetal heart rate monitoring; high-alert medication; induction of labor; intrapartum care; oxytocin; Pitocin; risk management; tachysystole

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The use of exogenous oxytocin to induce or augment labor has increased in recent years. This literature-informed review examines the action of this medication and the potential associated complications, with an evaluation of current professional practice guidelines. A brief history of the use of exogenous oxytocin for labor induction or augmentation is presented. In addition, risk management strategies for the prevention of oxytocin-related adverse outcomes and subsequent litigation are identified.

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