Abstract

Prolonged labour is a substantial reason for maternal and perinatal morbidity and mortality. The present study evaluated augmentation of delayed labour using different doses of oxytocin. Materials & Methods: 160 pregnant women with gestational age ranging from 37 weeks - 41 weeks were divided into 2 groups of 80 each. Group I were prescribed oxytocin high dose and group II oxytocin low dose in isotonic saline. Parameters such as mode of delivery indication for caesarean section, vaginal birth, NICU admission, NICU stay, mortality, metabolic acidosis, Apgar score less than 4, Apgar score less than 7 was recorded. Results: Indication for caesarean section was fetal distress seen in 11 in group I and 14 in group II, progress failure in 29 in group I and 26 in group II. Vaginal birth was seen in 27 women in group I and 25 in group II and instrumental seen 13 in group I and 15 in group II. Need for manual placenta removal (P>0.01) was seen in 4 in group I and 8 in group II. Other parameter the difference was non- significant (P> 0.05). APGAR score < 7 was seen in 2 in group I and 4 in group II. NICU admission duration was seen in 5 in group I and 4 in group II, Average NICU stay duration was seen in 4.2 days in group I and 5.4 in group II, mortality was seen in 2 in group I and 1 in group II and metabolic acidosis was seen in 4 in group I and 3 in group II. The difference was non- significant (P> 0.05). Conclusion: Both high oxytocin or low oxytocin dose used in females with delayed labour exhibited similar results.

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