Nipple stimulation for labor augmentation

J. L. Stein, A. D. Bardeguez, U. L. Verma, N. Tegani

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


A randomized, prospective study was undertaken to evaluate the efficacy of nipple stimulation with a breast pump as compared to oxytocin for augmentation of labor. The average and maximal uterine activity achieved was significantly higher in the oxytocin-stimulated group, without significant differences in the length of labor stages, cesarean section rate, Apgar scores or umbilical artery pH. Fifty percent of the patients failed to respond to nipple stimulation after 30 minutes and were switched to oxytocin. These patients experienced a more rapid rate of cervical dilation in the active phase and reached higher maximal uterine activity with oxytocin stimulation; however, the cesarean section rate was highest in this group. Nipple stimulation with a breast pump appears to be a safe and effective alternative to oxytocin for the augmentation of labor.

Original languageEnglish
Pages (from-to)710-714
Number of pages5
JournalThe Journal of reproductive medicine
Issue number7
StatePublished - 1990
Externally publishedYes


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