amniotomy


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amniotomy

 [am″ne-ot´ah-me]
surgical rupture of the fetal membranes.
Patient Care. Amniotomy results in drainage of the amniotic fluid and thus hastens labor by allowing the head to fit more snugly into the dilating cervix. There is little or no discomfort accompanying the procedure; the patient will require only an explanation of what is to be done, and proper draping and cleansing of the perineum. After amniotomy the expelled fluid is carefully observed for color. A yellow or green color indicates fetal distress. The fetal heart rate is monitored for signs of fetal distress because amniotomy increases the risk of a prolapsed cord.

am·ni·ot·o·my

(am'nē-ot'ō-mē),
Artificial rupture of the fetal membranes as a means of inducing or expediting labor.

amniotomy

(ăm′nē-ŏt′ə-mē)
n.
Surgical rupture of the fetal membranes to induce or expedite labor.

amniotomy

Breaking the bag of waters, membrane rupture Obstetrics The deliberate rupture of the amniotic sac to induce or hasten labor

am·ni·ot·o·my

(am'nē-ot'ŏ-mē)
Artificial rupture of the fetal membranes as a means of inducing or expediting labor.

amniotomy

Intentional rupturing of the fetal membranes to induce or facilitate labour.
References in periodicals archive ?
A meta-analysis of 15 RCTs (5583 women) compared intentional artificial rupture of the amniotic membranes during labor (amniotomy) with intention to preserve the membranes (no amniotomy).
At a cervical dilation of at least 3 cm, the balloon falls out and the induction was then followed by amniotomy and oxytocin.
Prior studies have noted a decreased time to delivery of between two and four hours with early amniotomy but have shown conflicting results on the rate of cesarean section [8-11].
Taking the reasons for cesarean delivery in these cases into account, one may conclude that one should be careful performing amniotomy if the fetal head is not properly engaged.
They were randomized to soak in baths for up to 4 hours or undergo amniotomy and augmentation as needed, with vaginal exams every 4 hours.
They were randomly assigned to receive standard care for dystocia (amniotomy and intravenous oxytocin as needed) or to labor in an acrylic pool filled with tap water.
Labour augmentation was done with amniotomy once cervix is 3 cm and more dilated.
It is known that practices such as the lithotomy position (used in almost all births), unnecessary palpation, shaving of the perineum, enema, use of catheters, establishing vascular access, restriction of eating and drinking water, amniotomy (60%), and fetal monitorization are widespread (11,12).
Augmentation of labor was done by amniotomy and syntocinon infusion.
The departmental policy for the management of spontaneous labour at term is according to standard protocol which includes early amniotomy in active labour and augmentation if progress is less than 1cm in an hour.
Most of the time, I can gain entrance to the uterine cavity without performing a concurrent amniotomy, which allows me to sharply perform the hysterotomy without concern for injuring the fetus.