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For high-risk pregnancies, modern obstetrical practice demands prompt recognition and judicious but active management. The ability of the obstetrician to control when, where, and how a particular labor and delivery may occur has reduced the fetal and maternal risks of the major complications of late pregnancy. The benefits of the proper application of oxytocin induction are amply demonstrated in this monograph. The authors analyze almost 7,000 labors which were either electively induced or required induction or stimulation of labor. Their results support the clinical conviction that, when spontaneous labor is considered indicated and safe, induced labor is also indicated and safe.
In all cases, the technique was intravenous administration of dilute oxytocin followed by amniotomy. With standard indications, nonelective labor was induced and delivery accomplished without maternal deaths. There were six intrapartum (0.9%) and nine neonatal (1.4%) deaths. While the results are admirable, nevertheless the authors correctly comment that many
Kase N. Induction of Labor. JAMA. 1965;194(8):938. doi:10.1001/jama.1965.03090210102050
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