Treatment Oxytocin Sometimes operative delivery if the 2nd stage of labor is prolonged Cesarean delivery for fetopelvic disproportion or intractable hypotonic dysfunction If the 1st or 2nd stage of labor proceeds too slowly and fetal weight is < 5000 g (< 4500 g in diabetic women), labor can be augmented with oxytocin, which is the treatment for hypotonic dysfunction.