American Journal of Obstetrics & Gynecology
Volume 199, Issue 1 , Pages 34.e1-34.e5 , July 2008

Effects of oxytocin-induced uterine hyperstimulation during labor on fetal oxygen status and fetal heart rate patterns

Presented at the National Congress on the State of the Science in Nursing Research, Council for the Advancement of Nursing Science, American Academy of Nursing, Washington, DC, Oct. 12-14, 2006, and the Association of Women's Health, Obstetric and Neonatal Nurses National Convention, Orlando, FL, June 23-27, 2007.

  • Kathleen Rice Simpson, PhD, RNC

      Affiliations

    • Labor and Delivery, St John's Mercy Medical Center, St Louis, MO
    • Corresponding Author InformationReprints: Dr Kathleen Rice Simpson, 7140 Pershing Ave, St Louis, MO 63130.
  • ,
  • Dotti C. James, PhD, RNC

      Affiliations

    • Doisy College of Health Sciences School of Nursing, Saint Louis University, St Louis, MO.

Received 22 July 2007 ,Revised 12 October 2007 ,Accepted 19 December 2007.

References 

  1. Bakker PCAM, Kurver PHJ, Kuik DJ, Van Geijn HP. Elevated uterine activity increases the risk of fetal acidosis at birth. Am J Obstet Gynecol. 2007;196:313.e1–313.e6
  2. McNamara H, Johnson N. The effect of uterine contractions on fetal oxygen saturation. Br J Obstet Gynaecol. 1995;102:644–647
  3. Johnson N, Van Oudgaarden E, Montague I, McNamara H. The effect of oxytocin-induced hyperstimulation on fetal oxygen. Br J Obstet Gynaecol. 1994;101:805–807
  4. Peebles DM, Spencer JAD, Edwards AD, Wyatt JS, Reynolds EOR, Delpy DT. Relation between frequency of uterine contractions and human fetal cerebral oxygen saturation studied during labour by near infrared spectroscopy. Br J Obstet Gynaecol. 1994;101:44–48
  5. American College of Obstetricians and Gynecologists. Induction of labor (ACOG practice bulletin 10). Washington (DC): American College of Obstetricians and Gynecologists; 1999;
  6. American College of Obstetricians and Gynecologists. Dystocia and augmentation of labor (ACOG practice bulletin 49). Washington (DC): American College of Obstetricians and Gynecologists; 2003;
  7. American College of Obstetricians and Gynecologists. Intrapartum fetal heart rate monitoring (ACOG practice bulletin 62). Washington (DC): American College of Obstetricians and Gynecologists; 2005;
  8. Simpson KR, James DC. Efficacy of intrauterine resuscitation techniques in improving fetal oxygen status during labor. Obstet Gynecol. 2005;105:1362–1368
  9. National Institute of Child Health and Human Development Research Planning Workshop. Electronic fetal heart rate monitoring: Research guidelines for interpretation. Am J Obstet Gynecol. 1997;177:1385–1390
  10. Crane JM, Young DC, Butt KD, Bennett KA, Hutchens D. Excessive uterine activity accompanying induced labor. Am J Obstet Gynecol. 2001;97:926–931
  11. American College of Obstetricians and Gynecologists and American Academy of Pediatrics. Neonatal encephalopathy and cerebral palsy: Defining the pathogenesis and pathophysiology. Washington (DC): American College of Obstetricians and Gynecologists and American Academy of Pediatrics; 2003;
  12. Paternoster DM, Micaglio M, Tambuscio B, Bracciante R, Chiarenza A. The effect of epidural analgesia and uterine contractions on fetal oxygen saturation during the first stage of labour. Int J Obstet Anesth. 2001;10:103–107
  13. Freeman RK, Garite TJ, Nageotte MP. Fetal heart rate monitoring. 3rd ed.. Philadelphia: Lippincott Williams & Wilkins; 2003;
  14. Haydon M, Gorenberg D, Ghamsary M, et al. The effect of maternal oxygen administration on fetal pulse oximetry during labor in fetuses with nonreassuring fetal heart rate patterns. Am J Obstet Gynecol. 2006;195:735–738

 Cite this article as: Simpson KR, James DC. Effects of oxytocin-induced uterine hyperstimulation during labor on fetal oxygen status and fetal heart rate patterns. Am J Obstet Gynecol 2008;199:34.e1-34.e5.

 This study was supported by the Association of Women's Health, Obstetric and Neonatal Nurses through a technology grant from Philips Medical Systems, Andover, MA; St John's Mercy Medical Center Perinatal Nursing Research Fund; and a Saint Louis University Beaumont Faculty Development Grant.

PII: S0002-9378(07)02295-8

doi: 10.1016/j.ajog.2007.12.015

American Journal of Obstetrics & Gynecology
Volume 199, Issue 1 , Pages 34.e1-34.e5 , July 2008