This randomized controlled trial compared the effects of a high-rate (15 U/h) versus low-rate (2.5 U/h) oxytocin infusion for maintaining uterine contractility during elective cesarean delivery. The study found no significant differences between the groups in estimated blood loss, adequacy of uterine tone, use of additional uterotonics, or incidence of oxytocin-related side effects such as hypotension. While efficacy was obtained with the low-rate oxytocin infusion, further dose-finding studies are needed to determine the optimal infusion rate that maximizes drug efficacy while minimizing side effects.