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Abstract
Induction of labor is the most common procedures in obstetrics and one of the fastest growing medical procedures in the United States. The rate of labor induction in the United States continues to rise significantly for all gestational ages. Final data for the year 2003 from the national center for. Health statistics indicated that the rate of labor induction was 20.6% for the year 2002 . Twice more than year 1989 which level was 9% . The reason for this increase is unclear , although it may partly reflect a growing use of labor induction for post term pregnancies and an increasing trend toward elective induction of labor ( Martin et al., 2002 ). Initiation of labor by artificial means including oxytocin prior to the honest of spontaneous labor uterine activity is slowly stimulation to create uterine contraction of adequate quality to produce cervical effacement and dilatation, and to facilitate the descent of the fetus through the maternal pelvis. Augmentation is the artificial stimulation of labor that being spontaneously but progresses abnormal or inadequately. Additional uterine activity is needed in order to advice cervical effacement dilation and fetal descent ( Ladewig et al., 2006 ).
The most common complications of oxytocine if it is given without continous close observation by the nurse. Intrapartum fetal oxytocine, brain damage and intrauterine fetal death. Postpartum complications are low Apgar scoring in one and five minutes, neonatal jaundance, retinal hemorrhage and respiratory distress. The maternal complications are related to un judgudged use of oxytocin they include signs of dehydration, increased pulse rate, increased temperature, sweating , vomiting and pallor. The signs of fetal distress are excessive fetal movements, excessive moulding of fetal heart rate to more than 160 beats per minute, or decrease to less than 100 beats per minute, irregular pulse and passage of me conium in cephalic presentation ( Driscol et al., 2005 ) .