As Syntocinon-induced contractions are periodic,
the midwife or obstetrician should not
continue CCT when the uterus relaxes and should
await the next contraction. In contrast, the
ergometrine component of Syntometrine causes
a sustained tonic contraction, therefore continual
assessment of uterine contraction is not normal
practice. The periodic nature of uterine contractions
with Syntocinon compared to Syntometrine
and the continued application of CCT may have
interfered with the control of bleeding if midwives
and obstetricians were not aware of the different
effects of the drugs. These findings may therefore
reflect a lack of practice experience in applying CCT
following the administration of Syntocinon alone.
This hypothesis requires further exploration