Cynthia Abraham
Northwell health System, Staten Island, NY
United States
Research Article
Patterns of Oxytocin Use in those Undergoing Trial of Labor After Cesarean Delivery
Author(s): Cynthia Abraham, Moyosore Adeyekun and Seleshi DemissieCynthia Abraham, Moyosore Adeyekun and Seleshi Demissie
Introduction: Oxytocin use in the management of TOLAC is controversial. Data assessing the relationship between oxytocin use and adverse outcomes is scant.
Methods: Chart review of 159 patients with one prior cesarean undergoing TOLAC divided into those who were: (1) induced with oxytocin (IND, n=44), (2) augmented with oxytocin (AUG, n=37) and (3) managed expectantly after presenting in labor (SPON, n=78). Following obtained: maternal baseline characteristics, amount administered and duration of oxytocin use if used, incidence of adverse outcomes. Chi-square and ANOVA were used for statistical analysis.
Results: Baseline characteristics between groups were similar. Two cases of uterine ruptures and one of hemorrhage occurred in the IND group. All three cases had an initial Bishop score less than 5. Average total amount .. View More»
