Paper II
2023 March (Supplementary) (2010 Scheme)

Question

Oxytocin/Ergometrine in Induction of labour

Q140.3 marksShort Answers

Answer

Oxytocin is the appropriate choice — given as a titratable IV infusion, it produces rhythmic, physiological uterine contractions with relaxation between them, allowing controlled induction and adequate uteroplacental perfusion during each contraction cycle. Ergometrine produces sustained, tetanic uterine contraction without relaxation — appropriate for controlling postpartum hemorrhage after delivery, but dangerous for induction, since a tetanic contraction before delivery risks fetal asphyxia and uterine rupture.

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