OXYTOCIN belongs to the class of medication called 'oxytocic' or 'uterotonic', primarily used for initiating or improving uterine contraction (antepartum) and producing uterine contraction during the third stage of labour (postpartum). Besides this, it also controls postpartum bleeding or haemorrhage after childbirth. Labour induction stimulates uterine (womb) contractions during pregnancy before labour pain begins to achieve a vaginal birth. It is recommended by the doctor for labour induction for various reasons, especially when there is a concern for a mother's or baby's health.
OXYTOCIN contains a synthetic female hormone, 'Oxytocin', given in the intravenous (IV) form or intramuscular (IM) form that stimulates uterine muscles and increases the uterus' contractions. It also increases the production of a natural substance called prostaglandins (PGs), increasing contractions and hence inducing labour. As a result, these increased uterine contractions help deliver the child.
Your doctor will give OXYTOCIN before childbirth or during labour pain. Do not self-administer. The most common side effects of OXYTOCIN are nausea, vomiting, and headache. Most of these side effects of OXYTOCIN do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
If you ever had surgery on the uterus, cesarean or premature labour, please inform your doctor before taking OXYTOCIN to avoid complications. Also, mention all the other medications you are taking to affect how OXYTOCIN works. If you have been given prostaglandins, OXYTOCIN should not be given within 6 hours as both medications, if taken together, can increase the contractions. A OXYTOCIN should not be used for a prolonged time if the contractions do not improve, severe pre-eclamptic toxaemia (high blood pressure, protein in the urine, and swelling), or blood or heart circulation problems.
Labour induction
OXYTOCIN contains a female hormone primarily used in inducing labour. It plays a major role in childbirth by increasing uterus contractions and inducing labour in pregnant women. In addition to this, it is also used to stop bleeding after delivery and manage a miscarriage in cesarean section. When given in the intravenous form, Oxytocin stimulates uterine muscles and increases the contractions in the uterus. Also, it increases the production of prostaglandins, which further increases contractions and hence induces labour. As a result, these increased uterine contractions help deliver the child.
Do not take OXYTOCIN if you are allergic to OXYTOCIN or any of its ingredients. Increasing the dose of OXYTOCIN can be harmful if your womb already has too strong contractions, any obstructions in the pathway that might prevent the delivery or if the baby is not receiving a sufficient oxygen supply. Also, the use of OXYTOCIN is not advisable if the baby is wrongly positioned in the birth canal, the baby’s head is too large to fit through the pelvis, the placenta lies near the neck of the womb, the placenta separates from the womb before birth, the womb is over-extended and likely to tear (in case you are carrying more than one baby). If you have been given prostaglandins, do not use OXYTOCIN with 6 hours; if taken together, it can increase the contractions. OXYTOCIN should not be used for a prolonged time if the contractions do not improve or if you have severe pre-eclamptic toxaemia (high blood pressure, protein in the urine, and swelling) or blood or heart circulation problems. A professional should always administer OXYTOCIN at a hospital, do not practice self-administration. It should also not be given as a rapid injection into a vein as it might cause hypotension (low blood pressure) or suddenly increased heart rate.
Drug-Drug Interactions: OXYTOCIN interacts with OXYTOCIN, so it should be used with caution with anaesthetics (sevoflurane, halothane, cyclopropane, desflurane), other medicines used to start labour (prostaglandins), anti-diuretic hormone (vasopressin), a neurotransmitter (dopamine), anti-sickness medication (ondansetron), sympathomimetic agents (epinephrine).
Drug-Food Interactions: Alcoholic beverage intake should be avoided with OXYTOCIN as it may interact with OXYTOCIN to produce unpleasant side effects.
Drug-Disease Interactions: OXYTOCIN should not be given to patients with previous cesarean section, hypertension (high blood pressure), heart problem, cervical cancer, herpes infection, kidney problem if you are more than 40 weeks pregnant or are more than 35 years ago, the pelvis is too small for normal delivery.
OXYTOCIN should not be taken until prescribed if you are taking alcohol. Keep your doctor informed if you drink alcohol.
OXYTOCIN is used to induce contractions in the uterus so if given by the doctor for delivery it is safe.
Inform your doctor if you are a nursing mother. Your doctor will weigh the benefits and potential risks before prescribing OXYTOCIN.
OXYTOCIN can cause contraction of the uterus and lead to baby birth. So, driving a car may be highly unsafe.
Inform the doctor before receiving the OXYTOCIN if you have had a Liver impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.
Inform the doctor before receiving the OXYTOCIN if you have had a Kidney impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.
OXYTOCIN is not recommended for children below the age of 18 years. The safety and effectiveness of OXYTOCIN have not been established in children due to limited testing of this drug on children by competent authorities worldwide.
Labour induction: When artificially oxytocin is used to stimulate the uterus to contract, it is known as labour induction. There are various reasons for the induction of labour miscarriage, if the pregnancy lasts longer than 42 weeks, a cesarean section or if your water breaks out. Induction of labour is planned in advance, and your doctor will discuss all the advantages and disadvantages with you priorly.