Abstract :
Aim: In the current study we intend to measure the effectiveness and protection of high and low dose oxytocin for rise of labour, on process of delivery.
Materials and Methods: One hundred pregnant women needed growth of labor forinadequate uterine contractions, even 1 hour after ARM [If membranes intact],and cervical dilatation is at least 3 cm or more.
These cases were selectedrandomly and were assigned to either a low dose (2.5 mU/min) or a high dose(5 mU/min) regimen. Study included equal number of primigravida and multigravida in each group.
Results: High dose oxytocin group was associated with significant shorter duration of labor, as indicated by shortened augmentation to full dilatation and augmentation to delivery gap in primigravidae contrast to low dose group, but not in multigravdia. Both in multigravida and primigravdia maximum oxytocin dose was high with high dose regimen compared to low dose.
Conclusion: High dose oxytocin is better to low dose oxytocin for labour augmentation for efficient dystocia in primigravdia. High dose oxytocin augmentation in primigravdia is connected with considerable decrease in first stage of labour without any unpleasant perinatal and maternal morbidity or mortality.
Keyword :
Oxytocin, Augmentation, High dose, Low dose, Functional dystocia, Labour duration, Maternal and fetal outcome.