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  • Title: The effect of continuous or pulsatile administration of oxytocin to ewes at 126 to 136 days' gestation on myometrial activity and fetal oxygenation.
    Author: Pimentel G, Poore ER, Nathanielsz PW.
    Journal: Am J Obstet Gynecol; 1989 Jan; 160(1):242-7. PubMed ID: 2492148.
    Abstract:
    Oxytocin was infused either continuously or in pulses to pregnant ewes to compare the responses of myometrial activity (contractures) and changes in fetal arterial PO2. Group 1 (n = 5) was infused with saline solution throughout the experiment. In group 2 (n = 5) oxytocin was infused continuously (160 microU.kg-1.min-1) for 7 days whereas group 3 (n = 5) ewes received 960 microU.kg-1.min-1 for 5 minutes every 30 minutes for 7 days. Contracture frequency increased in both oxytocin-infused groups. With continuous infusion contracture frequency returned to preinfusion levels during the last 4 days of infusion, whereas the pulsatile infusion contracture frequency remained increased throughout the infusion period. Fetal arterial PO2 was decreased throughout the 7 days of infusion in both oxytocin-infused groups. Pulsatile group fetal arterial PO2 levels remained decreased after the oxytocin infusion was stopped. These findings show: (1) Myometrial response to oxytocin in late pregnant ewes is influenced by the mode of administration; (2) administration of oxytocin to pregnant ewes resulted in a decrease in fetal PO2, and thus fetal hypoxemia cannot be attributed exclusively to increased contracture frequency.
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