Assess fluid for presence of meconium. Monitor fetal heart tones before and after the procedure. Guidelines for oxytocin administration. Close monitoring of the parturient and fetus is essential. Most hospitals have written protocols available.
Various protocols exist regarding the rate for increasing the dose and the maximum dose.
The faster the increase, the more likely the risk of hyperstimulation. Ideally you want 150 to 250 Montevideo units. If at any point the fetal heart rate indicates distress, the patient should be placed on her left side, oxygen administered, and oxytocin discontinued. Reinstatement of oxytocin drip requires reassessment of the situation. All rights reserved.