Intrapartum assessment of uterine activity

Management of labour carries the responsibility of achieving safe delivery of the mother and baby, while avoiding prolonged labour and fetal distress. This requires close attention to uterine activity, which is particularly important in labours in which contractions are stimulated pharmacologically. Whether labour is induced or augmented for slow progress, the principal aim should be to make the use of oxytocin safe. Better awareness and understanding of the effects of oxytocin, aided by appropriate methods of monitoring, will minimize iatrogenic intervention and maximize the chances of normal delivery.