Abstract
Inappropriate use of oxytocin is one of the top five areas of obstetric harm. Cases almost always involve severely brain-damaged children, occasionally involve maternal death, and consistently result in multi-million-dollar jury verdicts. Historically there have been many issues: How many contractions are too many? What if baby looks fine? When do we intervene? Which of many terms for it do we use? The 2008 National Institute of Child Health and Human Development (NICHD) Update on fetal monitoring helped clarify these issues, but putting the evidence into action and avoiding tendencies to “push the pit” can be challenging.
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