Managing Complications in Pregnancy and Childbirth: - IAWG

Induction and augmentation of labourP-21- Increase the oxytocin concentration to 5 units in 500 mL ofdextrose (or normal saline) and adjust the infusion rate to 30drops per minute (15 mIU per minute);- Increase the infusion rate by 10 drops per minute every 30minutes until a satisfactory contraction pattern is establishedor the maximum rate of 60 drops per minute is reached.• If labour still has not been established using the higherconcentration of oxytocin:- In multigravida and in women with previous caesarean scars,induction has failed; deliver by caesarean section (page P-43);- In primigravida, infuse oxytocin at a higher concentration(rapid escalation, Table P-8):- Infuse oxytocin 10 units in 500 mL dextrose (or normalsaline) at 30 drops per minute;- Increase infusion rate by 10 drops per minute every 30minutes until good contractions are established;- If good contractions are not established at 60 drops perminute (60 mIU per minute), deliver by caesarean section(page P-43).Do not use oxytocin 10 units in 500 mL (i.e. 20 mIU/mL) inmultigravida and women with previous caesarean section.