Amniotomy and oxytocin treatment of functional dystocia and route of delivery

Joseph Seitchik, Alan E.C. Holden, Maria Castillo

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The details of clinical management were examined in 101 nulliparous patients with functional dystocia who underwent amniotomy and were treated with oxytocin in the first stage of labor. It was our hypothesis that if the alleged "high" rate of cesarean sections was the result of mediocre or flawed practices, these should be most evident in patients delivered abdominally. A group of 68 patients delivered vaginally are compared with 33 patients delivered by cesarean section. The means of many variables were statistically similar. The cesarean group was characterized by less cervical dilatation at admission, greater birth weights, larger maximum doses of oxytocin, and longer durations of oxytocin therapy. We conclude from our analysis that the decision to perform cesarean section in nulliparous women with functional dystocia arises from disabilities of the patient and not from differences in the application of our management principles, services, or treatments.

Original languageEnglish (US)
Pages (from-to)585-592
Number of pages8
JournalAmerican Journal of Obstetrics and Gynecology
Volume155
Issue number3
DOIs
StatePublished - Sep 1986

Keywords

  • Amniotomy
  • cesarean section
  • functional dystocia
  • oxytocin

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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