Liston W A, Campbell A J
Br Med J. 1974 Sep 7;3(5931):606-7. doi: 10.1136/bmj.3.5931.606.
A retrospective survey of 658 consecutive deliveries in Aberdeen Maternity Hospital in 1970 showed that fetal distress, low Apgar score at five minutes, and special nursery admission were all common in patients receiving oxytocin infusion. Many patients receiving such infusions also had very frequent contractions when compared with others. Though the populations in each group were not standard, the clinical criteria were crude, and the survey was retrospective there are resonable grounds to believe that the present enthusiasm for oxytocin has perhaps led us in clinical practice to underestimate and forget the dangers of oxytocin to the fetus. Careful monitoring of the fetus of the mother receiving oxytocin is essential.
对1970年阿伯丁妇产医院连续658例分娩进行的回顾性调查显示,接受催产素静脉滴注的患者中,胎儿窘迫、5分钟时阿氏评分低以及入住特殊保育室的情况都很常见。与其他患者相比,许多接受此类滴注的患者宫缩也非常频繁。尽管每组人群不具有标准性,临床标准也很粗略,且该调查是回顾性的,但有合理理由相信,目前对催产素的热衷可能使我们在临床实践中低估并忽视了催产素对胎儿的危害。对接受催产素的母亲的胎儿进行仔细监测至关重要。