The art of induction/augmentation of labor.

To manage safely and effectively oxytocin administration, nurses must be knowledgeable in theory and skilled in technique. Current theory is explored regarding initiation of labor and cervical ripening. The pharmacology of oxytocin, uterine response to endogenous and exogenous stimulation of oxytocin, and current methods being used to induce/augment labor are discussed. A protocol to provide safe, effective guidelines for managing induction/augmentation of labor is provided. The goal in oxytocin administration is to use the minimum dose necessary to facilitate and maintain an effective uterine response and avoid hyperstimulation and fetal distress.