In dystocia management, which action is best avoided if fetal distress is suspected?

• A. Administer fluids
• B. Provide analgesia
• C. Administer oxytocin
• D. Proceed to cesarean section

Answer: (C)

When fetal distress is suspected during dystocia, the priority is to avoid actions that worsen fetal oxygen delivery. Administering oxytocin increases uterine contractions, which can reduce placental blood flow and worsen fetal hypoxia. So this is the action to avoid.

If oxytocin is being used, it should be stopped and the patient reassessed. Supportive measures such as IV fluids to improve maternal perfusion, analgesia to reduce maternal stress and uterine tone, and supplemental oxygen to help fetal oxygenation are appropriate. If delivery is not imminent or distress persists, proceeding to cesarean section may be necessary to relieve the obstruction and deliver the fetus. The other options are aimed at stabilizing the dam and supporting fetal well-being, whereas stimulating more contractions with oxytocin would worsen distress.