By designing a highly flexible shaft and using a gentle twisting motion, this device improves amniotomy
success rates, increases patient comfort, reduces the risk of fetal injury, and has significant cost-savings for the healthcare industry.
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.
However, the proportion who had labor augmented by amniotomy
, oxytocin or both was significantly lower in the immersion group than in the augmentation group--71% vs.
SAN FRANCISCO - Early amniotomy
appears safe and efficacious for shortening labor at term in nulliparous women having an indication for labor induction, according to results of a randomized controlled trial.
Proceed to caesarean section (CS) (EASI unsuccessful or amniotomy
not possible or not indicated).
Two hundred seventy-four women were randomly assigned to receive membrane sweeping or no membrane sweeping at initiation of formal labor induction with either Cervadil[R] (dinoprostone pessary) or amniotomy
(rupture of membranes).
Simon's investigation were at 36 weeks' gestation or later, and the outcomes were stratified by the length of the patient's latent phase of labor, which started with the initiation of oxytocin and the performance of an amniotomy
and ended either with a cervical dilation of 4 cm with 80% effacement or with a 5-cm dilation with less effacement.
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.
The same philosophy of letting birth happen as normally as possible applies to other interventions, including pitocin augmentation, episiotomy, medication, epidural, and amniotomy
(breaking the waters).