Pitocin Dosing for Labor Induction in Special Populations

Risks and Contraindications

• Oxytocin carries a 1.1% risk of uterine rupture in women with prior cesarean, which is lower than prostaglandin E2 (2% risk), and requires careful counseling, according to the American Academy of Family Physicians 1
• The use of oxytocin in women with previous cesarean has a lower risk of uterine rupture compared to misoprostol, which has a 13% rupture risk, as recommended by the American family physician 1, 3
• Induction with oxytocin decreases the likelihood of successful vaginal birth after cesarean (VBAC) compared to spontaneous labor, as stated by the American family physician 1