What is the recommended starting dose of oxytocin for inducing labor?

The recommended starting dose of oxytocin for inducing labor is typically in the range of 0.5 to 2 mU/min. This dosage is considered effective for initiating uterine contractions and facilitating labor without increasing the risk of hyperstimulation, which can be harmful to both the mother and fetus. Starting at this lower range allows healthcare providers to closely monitor the mother and fetus for response to the medication while providing the flexibility to adjust the dose as needed in response to uterine activity and fetal heart rate patterns.

Using higher starting doses may lead to excessive uterine contractions, increasing the risk of complications such as uterine rupture or fetal distress. Therefore, the choice of 0.5 to 2 mU/min balances the need for effective labor induction with the safety of both the mother and the fetus. This approach aligns with current best practices in obstetric care.