amniotomy


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amniotomy

[‚am·nē′äd·ə·mē]
(medicine)
Artificial rupture of the fetal membranes by means of an amniotome to induce labor.
References in periodicals archive ?
The key ingredients for the successful management of the latent phase of labor are patience, oxytocin, and amniotomy.
The WHO (32) reports a very low quality of evidence regarding the routine use of amniotomy and induction and offers a weak recommendation regarding these procedures.
While there is a known increase in the rate of chorioamnionitis in patients exposed to premature spontaneous rupture of membranes [14, 15], none of the randomized controlled trials on early artificial rupture of membranes have been powered to detect differences between the rates of chorioamnionitis in the early and late amniotomy groups as their primary outcome [8-11].
According to the survey conducted in 2006 in the hospitals of Podlaskie province, the birth was induced pharmacologically in 39% of the responders and by means of amniotomy in 11% of the patients [19].
hospitalist programs provide additional support services for local physicians to assist or manage patients in labor, often including vaginal birth after cesarean management, supervising oxytocin augmentation, ordering epidurals, amniotomy, placement of fetal scalp electrode, evaluation of bleeding, and review of questionable tracings.
10 Maximum of three doses of PGE2 was inserted depending on the Bishop score followed by augmentation with amniotomy and Oxytocin infusion.
Obese women have slower rates of cervical dilatation (56) so are more likely to need augmentation of labour, as indicated by the need for oxytocin (57% vs 40%) and early amniotomy (26% vs 15%)36.
Amniotic fluid sample collection at amniotomy in laboring patients: The membranes were visualized per Sims speculum examination with good source of light.
But, a recent review of 14 randomized controlled trials comparing amniotomy alone to preserving the membrane found that amniotomy neither significantly shortened the first stage of labor when compared to a natural progression, nor did it improve maternal satisfaction with the childbirth experience.
Keirse, Amniotomy or Oxytocin for Induction of Labor: Re-Analysis of a Randomized Controlled Trial, 67 Acta Obstetricia et Gynecologica Scandinavica 731 (1988).
The research also found that harm is caused by routine use of intravenous fluids (IVs), amniotomy (breaking the bag of waters), withholding food and water from women in labor and episiotomy.