Postpartum haemorrhage
Adult: 10-40 units by infusion in 1000 mL of IV fluid at a rate sufficient to control uterine atony.
Intravenous
Adjunct in abortion
Adult: 10-20 milliunits/minute. Max total dose: 30 units in a 12-hr period.
Intravenous
Labour induction
Adult: 1-2 milliunits/minute, may increase at intervals of at least 30 minutes until a max of 3-4 contractions occur every 10 minutes. Not to exceed 32 milliunits/minute and no more than a total of 5 units should be given in 1 day. Not to be given within 6 hr after admin of vaginal prostaglandins. Monitor uterine contractions and foetal heart rate continuously. Withdraw gradually once labour is progressing.
Intravenous
Oxytocin challenge test for evaluating of fetal distress
Adult: Dilute 5-10 units in 1 L of 5% dextrose inj. Initially, administer the drug in the mother via IV infusion at a rate of 0.5 milliunits/minute. May gradually increase infusion rate at intervals of 15-30 minutes. Max: 20 milliunits/minute. Monitor foetal heart rate and uterine contractions immediately before and during infusion. Discontinue infusion when 3 moderate uterine contractions occur within one 10-minute interval. Compare baseline and oxytocin-induced foetal heart rates. If no change occurs, repeat the test in 1 wk. Termination of pregnancy may be required if a late deceleration in foetal heart rate occurs.
Nasal
Facilitate lactation
Adult: 1 spray (4 units) into 1 nostril 5 minutes before suckling.