What is a contraindication for oxytocin infusion during labor?

A contraindication for oxytocin infusion during labor is often related to the safety and well-being of both the mother and the fetus. In this case, non-reassuring fetal heart rate patterns indicate that the fetus might be experiencing stress or compromised oxygenation, which could be exacerbated by the use of oxytocin. This medication is a uterine stimulant that can increase the frequency and strength of contractions, potentially worsening the fetal distress.

Using oxytocin in the context of non-reassuring fetal heart rate patterns could lead to a further increase in uterine tone or frequency of contractions, which may lead to reduced placental perfusion and exacerbate fetal distress. Thus, it is critical to evaluate fetal heart rate patterns closely before proceeding with oxytocin infusion.

Other scenarios, such as eclampsia, dystocia, or placenta previa, require careful consideration as well, but the immediate safety of the fetus takes priority in instances of non-reassuring fetal heart rates.