Evolving Concepts of Oxytocin for Induction of Labor
Abstract
Based on findings of maternal and fetal circulating oxytocin levels during spontaneous labor and the available information on oxytocin secretion patterns, the dosage and mode of administration of oxytocin for induction of labor is discussed. It is recommended that intravenous infusion rates should not exceed 2 to 8 mU/min. Oxytocin administered in a pulsatile fashion beginning with 1 mU/min every 8 minutes with doubling the pulse dose every 24 minutes is equally as efficient as continuous infusion. Because both the peak levels and the total dose of oxytocin needed for induction are lower with pulsatile than continuous administration, the risk of adverse effects for the mother and the fetus is significantly reduced.
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By the 1980s, many laboratories had generated radioimmunoassays for oxytocin using independently produced antibodies, and most but not all required extraction.
“By the 1980s, many laboratories had generated radioimmunoassays for oxytocin, using independently produced antibodies 58, 72, 73, 74, 94, 95, 96, 97, 98] and most, but not all 99, 100, required extraction.”
From Measuring Oxytocin and Vasopressin: Bioassays, Immunoassays and Random Numbers (2016) · cites this paper as [58]
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“Dawood (58) advised that infusions should not exceed 2–8 mU/min and reported that oxytocin given as pulses, beginning with 1 mU/min every 8 min and doubling the pulse dose every 24 min, was as efficient as continuous infusion.”
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Dujardin, B., Boutsen, M., Schampheleire, I. D., Külker, R., Manshande, J. P., Bailey, J., Wollast, E., & Buekens, P. M. (1995) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(95)02389-t · Cited by 30 · see citing works
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Steroid Modulation of Myometrial Structure and Function During Pregnancy
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- Authors
- Dawood, M.
- Affiliations
- University of Illinois Chicago (US)
- Corresponding author
- Dawood, M.
- Venue
- American Journal of Perinatology
- Publisher
- Georg Thieme Verlag KG
- Published
- 1989-04
- Volume
- 6
- Issue
- 02
- Pages
- 167-172
- ISSN
- 0735-1631 (ISSN-L)
- 1098-8785
- OpenAlex
- W2069537217
- Cited by
- 17
- References
- 0
- Citations by year
- 2019: 1 · 2016: 1
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Perinatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Keywords
- oxytocin, labor induction, pulsatile administration, continuous infusion, intravenous infusion rate
- MeSH terms
- Cervix Uteri, Dose-Response Relationship, Drug, Female, Humans, Infusions, Intravenous, Injections, Intravenous, Labor, Induced, Oxytocin, Pregnancy, Prostaglandins, Uterine Contraction
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