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 ?
It was also shown that practices such as use of early amniotomy, use of oxytocin to induce labor, exerting pressure on the bottom of the uterus, and episiotomy persist (18).
Amniotomy does result in about a 55% reduction of pitocin use in multiparous women, a small (5 minutes) decrease in the duration of second-stage labor in primiparous women, and about a 50% overall reduction in dysfunctional labor--ie, no progress in cervical dilation in 2 hours or ineffective uterine contractions (SOR: A, large meta-analyses of RCTs and a single RCT with conflicting results).
The key ingredients for the successful management of the latent phase of labor are patience, oxytocin, and amniotomy. (16)
After inclusion, deliveries were divided into six groups according to the method of induction, misoprostol, dinoproston * (Minprostin), dinoproston ** (Propess), balloon catheter (Bard), amniotomy, or oxytocin administrated primarily for augmentation.
For years, obstetricians have drawn upon such various methods for the induction of labor as membrane sweeping, amniotomy, extra-amniotic Foley catheter insertion, extra-amniotic saline infusion, caster oil consumption, intravenous oxytocin, vaginal prostaglandin E2, vaginal prostaglandin F2[alpha], misoprostol, and even acupuncture, all with different success rates and probable complications.
Labor inductions by amniotomy, intravenous drip of oxytocin, or vaginal dinoprostone were applied 24 h after the first tablet was provided, if the women (both the misoprostol and placebo groups) were still not in labor.
At cervical dilatation of 4-6cm, amniotomy was performed in those with intact membranes and the patients were randomly assigned to the two groups as per protocol.
Labor induction is associated with longer labor and hospital stays; higher costs due to related interventions such as electronic fetal monitoring, amniotomy, and epidural use; and higher risk of cesarean delivery (Maslow and Sweeny 2000; Rayburn and Zhang 2002; Heffner, Elkin, and Fretts 2003; Simpson and Atterbury 2003; MacDorman, Declercq, and Zhang 2010).
Artificial rupture of membranes (amniotomy) is included in the active management of labor in multiparous women [3] and may shorten the duration of labor in nulliparous women who present in spontaneous labor [4-7].
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.
Amniotomy was performed in women with a favorable cervix (Bishop score [greater than or equal to] 6).