Obsgynaecritcare

  https://www.obsgynaecritcare.org/wp-content/uploads/2017/08/Oxytocin-in-labour-increases-PPH.m4a   The use of oxytocin to induce or augment labour is an established, commonly used practice that underpins a lot of modern obstetric practice. This technique is a undoubtedly a useful tool which has allowed us to improve maternal and fetal outcomes. For example to induce a timely delivery when maternal illness such as PET occurs or to avoid an operative delivery for a mother when their spontaneous progress in labour is slow. However, like most things in medicine (and life in general) there is no such thing as a "free lunch" and it is perhaps a less well recognised fact that the use of oxytocin in labour - especially at higher doses and for prolonged periods - is associated with an increased risk of postpartum haemorrhage due to uterine atony. Uterine atony is becoming more common in developed countries: The incidence of uterine atony causing postpartum haemorrhage in developed countries has increased markedl