{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T20:14:40Z","timestamp":1787948080300,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,8,26]],"date-time":"2015-08-26T00:00:00Z","timestamp":1440547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Central Denmark Region Committees on Health Research Foundation"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate whether discontinuation of oxytocin infusion increases the duration of the active phase of labour and reduces maternal and neonatal complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Randomised controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Department of <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>bstetrics and <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>ynaecology, <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>egional <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital of <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>anders, <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>enmark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women with singleton pregnancy in the vertex position undergoing labour induction or augmentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred women were randomised when cervical dilation was \u22644\u00a0cm to either continue or discontinue oxytocin infusion when cervical dilation reached 5\u00a0cm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The primary outcome was duration of the active phase of labour, defined as the time period from 5\u00a0cm of cervical dilation until delivery. Secondary outcomes were mode of delivery, uterine tachysystole, hyperstimulation, abnormalities in fetal heart rate, postpartum haemorrhage rate, perineal tears, and neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The active phase of labour was longer by 41\u00a0minutes (95% confidence interval 11\u201375\u00a0minutes) in the discontinued group (median 125\u00a0minutes in 85 women who had reached the active phase and delivered vaginally) versus the continued group (median 88\u00a0minutes in 78 women). The incidence of fetal heart rate abnormalities (51 versus 20%) and uterine hyperstimulation (12 versus 2%) was significantly greater in the continued than the discontinued oxytocin group. The incidence of tachysystole, caesarean deliveries, postpartum haemorrhage, third degree perineal tears and adverse neonatal outcomes was higher in the continued group, but did not reach significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Discontinuation of oxytocin infusion in the active phase of labour may improve some labour outcomes but has the disadvantage of increasing the duration of the active phase of labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Stopping oxytocin in the active phase seems to make labour less complicated but lengthens duration.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.13589","type":"journal-article","created":{"date-parts":[[2015,8,26]],"date-time":"2015-08-26T15:23:38Z","timestamp":1440602618000},"page":"129-135","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Continuation versus discontinuation 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