What issue could arise if contractions are longer than 90 seconds when using Pitocin?

When contractions last longer than 90 seconds while using Pitocin, the primary concern is the potential for fetal distress. Prolonged contractions can lead to decreased oxygenation for the fetus due to reduced uteroplacental blood flow during the contraction. This can create stress on the fetal body and potentially compromise its well-being, leading to signs of distress.

Monitoring the fetal heart rate is crucial in this context, as it often reflects the baby’s response to the stressors of prolonged contractions. If the fetus becomes distressed, there may be a drop in the fetal heart rate or other abnormal patterns, indicating that immediate intervention may be necessary to safeguard both maternal and fetal health. The goal is to ensure that contractions are effective but not excessive in duration, maintaining a balance that supports the well-being of both the mother and the fetus.