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Obstetrics & Gynecology 1976;47:8-13
© 1976 by The American College of Obstetricians and Gynecologists
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An Evaluation of the Significance of a Positive Oxytocin Challenge Test

ROGER K. FREEMAN, MD, FACOG, UWE GOEBELSMAN, MD, DAVID NOCHIMSON, MD, FACOG and CURTIS CETRULO, MD

From the Section of Obstetrics at the LAC/USC Medical Center, Los Angeles, California

Abstract

Sixty-six of 390 patients studied at LAC/USC Women's Hospital between 1970 and 1973 had positive oxytocin challenge tests (OCT). Tnenty-four percent of patients who were allowed direct monitored labor after a positive OCT showed no late deceleration and must be assumed to have had false-positive tests. Patients with positive OCT's had significantly increased incidences of perinatal mortality, infants with low Apgar scores, infants with IUCR, abnormal estriol excretion, and late deceleration in labor when compared to patients with no positive OCT. The combination of a positive OCT and abnormal 24-hour uninary estriol excretion should be considered ominous.






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Copyright © 1976 by the American College of Obstetricians and Gynecologists.