Abstract
Abstract. A clinical trial with intravenous, buccal and intranasal oxytocin used to perform 445 inductions of labour is reviewed. The factors affecting the course, complications and outcome of induction are analysed. A fairly satisfactory result was achieved with all the methods. The intranasal preparation (Partocon IN®) appeared to be a little more effective than the other drugs. Maternal complications were few. Neonatal asphyxia occurred in 5.5% of cases. Three children (one in each induction group) were lost: one died intrapartum, the other two soon after birth. Intravenous, buccal and intranasal oxytocin are good tools in the obstetrician's hands provided the indications for induction are carefully considered, the patienťs readiness for induction is studied carefully, the timing is correct and the procedure is closely supervised.
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