Obstetric and Gynecological Nursing - The Carter Center

Table 7. Procedure of induction for multipara and primigravida
Multipara
Primigravida
A. Start with 2.5 IU oxytocin A. Start with 5 IU Oxytocin in
in 1000 D/w running at 20 1000 D/w running at 20 drops
drops / min . If no contraction per / min. If no contraction
double every 20 minutes. double every 20 minutes.
Always stops at 80 drops (20, Always stop at 80 drops
40, 60, 80).
B. If no contraction add 2.5IU
of oxytocin and start with 60
drops (60,80)
C. If no contractions add
2.5IU oxytocin and start with
40 drops (40, 60, 80)
[Maximum7.5 units].
B. If no contractions add 5 IU
of oxytocin and start with 40
drops
C. If no contractions add 5 IU
of oxytocin and start with 60
drops.
[Maximum 15 units]
In induction
- delivery interval doesn’t exceed 18 hours; if not
ceaserean section is indicated.
- If no labour starts in 6 hours- consult
- If contractions are very strong and tetanic stop drip,
sedate and consider ceaserean section.
Observation of mother and fetus
- The fetal heart rate
- Uterine contractions
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