What should be closely monitored if oxytocin is continued after labor has begun?

When oxytocin is administered during labor, it is essential to closely monitor fetal heart rate and contraction patterns. Oxytocin is often used to enhance or induce labor by increasing the frequency and intensity of uterine contractions. As the dosage of oxytocin is adjusted or continued, it can directly impact the strength and duration of contractions, which in turn affects fetal well-being.

Monitoring the fetal heart rate is critical because abnormal patterns may indicate fetal distress, potentially stemming from excessive uterine activity, uteroplacental insufficiency, or other complications related to the oxytocin administration. Additionally, the contraction patterns need to be observed to ensure they remain within a safe range, allowing adequate time for fetal oxygenation between contractions. Failure to monitor these parameters attentively could lead to serious complications for both the mother and the fetus, making this the correct focus during ongoing oxytocin administration after labor has begun.