artificial rupture of membranes


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artificial rupture of membranes

See amniotomy.
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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].
In addition to the risks already noted regarding cervical ripening agents, oxytocin, and artificial rupture of membranes, other risks include increased use of epidurals, increased blood loss, increased cesarean sections, fetal hypoglycemia, and fetal distress resulting in an increased admission rate to a Newborn Intensive Care Unit (Baxley, 2003; Crane and Young, 1998; Crowley, 2000; Dublin et al.
Table 2 summarizes labor and delivery events and outcomes among spontaneous deliveries/ no interventions, augmented spontaneous labor by artificial rupture of membranes (AROM), augmented spontaneous labor utilizing oxytocin, induced labor using cervical ripening agents and/or oxytocin, and scheduled cesarean deliveries.
Other methods which require the involvement of a medical care giver include the stripping of membranes, mechanical dilation (cervical balloon catheter, for example), and artificial rupture of membranes (amniotomy).
Some procedures varied between the two units, with artificial rupture of membranes being more likely and augmentation of labour with oxytocin and episiotomy less likely in the midwife-led unit.
If all is well but her cervix hasn't dilated to 2-3 cm and hence she's not yet ready for artificial rupture of membranes, she receives a second 50-[micro]g dose, and the monitoring and walking sequence is repeated.
Ninety percent of treated patients were ready for artificial rupture of membranes or delivered within 8-10 hours.