Randomized trial of ambulation versus oxytocin for labor enhancement: A preliminary report

摘要: Abstract Published reports imply that intrapartum ambulation may improve labor. This suggests the possible efficacy of in labors requiring augmentation, provided adequate monitoring surveillance is maintained. Fourteen patients who failed to progress active-phase labor, and required augmentation for “inadequate” contractions were randomized into (eight) oxytocin (six) groups. Internal fetal was used all 30 minute baseline 2 hour study periods, with two-channel telemetry ambulating patients. Oxytocin administered by infusion pump. Study parameters included changes cervical dilation station, contraction frequency, intensity tonus, uterine activity. Labor slightly but not significantly better ambulatory group. A mean increase activity units (UAU) group immediate ranges reached hours. Increase Montevideo greater during first hour, exceeded second hour. These initial observations seem indicate that, terms labor effects on activity, as effective enhancement warrants further investigation.