Hyponatremic Fits in Oxytocin‐Augmented Labors

Case reports of three patients who had fits as a consequence of hyponatremia are presented. Each patient was in spontaneous labor at term and received conventional doses of oxytocin for augmentation. The pathogenesis, diagnosis and treatment of this entirely iatrogenic condition are discussed. The differences between these and similar cases in the literature are stressed.

[1]  K. Hancock,et al.  WATER INTOXICATION AND OXYTOCIN INFUSION , 1977, British journal of obstetrics and gynaecology.

[2]  H. Jacobs,et al.  Water intoxication associated with oxytocin infusion , 1975, Postgraduate medical journal.

[3]  A. Storch.  Acute Water Retention Associated with Continuous Slow Infusion of Oxytocin: A Case Report , 1971, Obstetrics and gynecology.

[4]  Burt Rl,et al.  Water intoxication complicating elective induction of labor at term. Report of a patient who survived. , 1969 .

[5]  V. Sitprija,et al.  Syntocinon in the Differential Diagnosis of Acute Oliguria , 1964, Obstetrics and Gynecology.

[6]  J. Pritchard,et al.  OXYTOCIN AND WATER INTOXICATION. , 1963, JAMA.

[7]  G. Liggins.  Antidiuretic Effects of Oxytocin, Morphine and Pethidine in Pregnancy and Labour , 1963, The Australian & New Zealand journal of obstetrics & gynaecology.

[8]  G. Liggins.  THE TREATMENT OF MISSED ABORTION BY HIGH DOSAGE SYNTOCINON INTRAVENOUS INFUSION , 1962, The Journal of obstetrics and gynaecology of the British Empire.

[9]  N. Assali,et al.  Renal function in human pregnancy. V. Effects of oxytocin on renal hemodynamics and water and electrolyte excretion. , 1961, The Journal of laboratory and clinical medicine.

[10]  N. Lauersen,et al.  Water intoxication associated with oxytocin administration during saline-induced abortion. , 1975, American journal of obstetrics and gynecology.

[11]  Storch As.  Acute water retention associated with continuous slow infusion of oxytocin. A case report. , 1971 .