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Madam Edudzi Anaba was at your ward in labour with 6cm cervical dilation and on oxytocin drip. After 2...

Madam Edudzi Anaba was at your ward in labour with 6cm cervical dilation and on oxytocin drip. After 2 hours the fetal heart rate was between 94-100 bpm. What would be your immediate action?
- Stop the infusion.
- Increase the rate of the infusion.
- Set up another line.
- Send Client to theater.
A major risk of excessive oxytocin administration is:
- Uterine tachysystole
- Permanent prevention of contractions
- Guaranteed cervical dilatation
- Reduced risk of fetal hypoxia

Answer

  1. Stop the infusion. A fetal heart rate between 94-100 bpm is concerning for fetal distress, and stopping the oxytocin infusion is a common immediate action to reduce uterine activity and improve fetal oxygenation.

  2. Uterine tachysystole. Excessive oxytocin can lead to uterine tachysystole, which is characterized by too frequent contractions that can compromise fetal oxygenation.

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