Which measure should be taken first when administering Pitocin in labor complications?

When administering Pitocin in the context of labor complications, the most immediate and appropriate action to take is to stop the infusion. Pitocin, or oxytocin, is often utilized to stimulate contractions during labor. However, if complications arise, such as signs of fetal distress or hyperstimulation of the uterus (excessively strong or frequent contractions), halting the infusion is critical to ensure the safety of both the mother and the fetus. Stopping the medication allows for the assessment of the situation and prevents further complications that could arise from continued uterine stimulation.

Once the infusion is stopped, other interventions may be necessary, such as notifying the doctor to discuss further management, increasing IV fluids to help stabilize the mother and maintain blood pressure, or changing the patient's position to optimize fetal oxygenation. However, the immediate priority is to discontinue the use of Pitocin to prevent any potential harm.