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Obstetrics & Gynecology 1972;39:247-253
© 1972 by The American College of Obstetricians and Gynecologists
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Clinical Experience with Oxytocin

ANDREW CORDANO, MD, FACOG and VERNON KRAUS, MD

Department of Obstetrics and Gynecology, The Permanente Medical Group, and Kaiser Foundation Hospital, San Francisco, Calif 94901.

Abstract

Oxytocin was used to stimulate labor in 302 patients, and to induce labor in 175. In 123 of the 477 gravidas, it was given despite factors considered by some authors to be contraindications to its use. Apgar scores were at least as high, and perinatal mortality and maternal morbidity rates at least as low, as in reported series where oxytocin was withheld. The rates of midforceps delivery and cesarean section were probably reduced. The transbuccal route, used in 386 instances, appeared to be safe and effective. The authors consider that oxytocin, given intravenously or transbuccally (but not intramuscularly), may be used wherever unstimulated labor would be allowed, and its administration may be maintained as long as labor progresses normally.






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