How effective is amniotomy as a means of induction of labour?
Background Amniotomy or artificial rupture of membranes is routinely used for induction of labour. Aims To assess the efficacy of amniotomy alone for induction. Methods A retrospective descriptive study of 3,586 cases of amniotomy for induction of labour between July 1996 and December 1999. Results...
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Published in | Irish journal of medical science Vol. 179; no. 3; pp. 381 - 383 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Springer-Verlag
01.09.2010
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Abstract | Background
Amniotomy or artificial rupture of membranes is routinely used for induction of labour.
Aims
To assess the efficacy of amniotomy alone for induction.
Methods
A retrospective descriptive study of 3,586 cases of amniotomy for induction of labour between July 1996 and December 1999.
Results
In total, 26,670 women delivered in the National Maternity Hospital during the study period. Of these 4,928 women required induction of labour and 72.8% of these (
n
= 3,586) underwent amniotomy only for induction of labour. Spontaneous labour occurred in 90.1% of the women who underwent amniotomy within 24 h. Oxytocin as an induction agent was employed in 9.8% of cases. Overall, 80.5% of the women had a spontaneous delivery, 7.3% had a ventouse delivery, 4.3% had a forceps delivery, and 7.9% underwent a caesarean section. In total, 90.5% of multips and 63.4% of primips had a spontaneous vaginal delivery.
Conclusions
Amniotomy is a simple, safe and effective method of induction of labour. |
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AbstractList | BACKGROUNDAmniotomy or artificial rupture of membranes is routinely used for induction of labour. AIMSTo assess the efficacy of amniotomy alone for induction. METHODSA retrospective descriptive study of 3,586 cases of amniotomy for induction of labour between July 1996 and December 1999. RESULTSIn total, 26,670 women delivered in the National Maternity Hospital during the study period. Of these 4,928 women required induction of labour and 72.8% of these (n = 3,586) underwent amniotomy only for induction of labour. Spontaneous labour occurred in 90.1% of the women who underwent amniotomy within 24 h. Oxytocin as an induction agent was employed in 9.8% of cases. Overall, 80.5% of the women had a spontaneous delivery, 7.3% had a ventouse delivery, 4.3% had a forceps delivery, and 7.9% underwent a caesarean section. In total, 90.5% of multips and 63.4% of primips had a spontaneous vaginal delivery. CONCLUSIONSAmniotomy is a simple, safe and effective method of induction of labour. Background Amniotomy or artificial rupture of membranes is routinely used for induction of labour. Aims To assess the efficacy of amniotomy alone for induction. Methods A retrospective descriptive study of 3,586 cases of amniotomy for induction of labour between July 1996 and December 1999. Results In total, 26,670 women delivered in the National Maternity Hospital during the study period. Of these 4,928 women required induction of labour and 72.8% of these ( n = 3,586) underwent amniotomy only for induction of labour. Spontaneous labour occurred in 90.1% of the women who underwent amniotomy within 24 h. Oxytocin as an induction agent was employed in 9.8% of cases. Overall, 80.5% of the women had a spontaneous delivery, 7.3% had a ventouse delivery, 4.3% had a forceps delivery, and 7.9% underwent a caesarean section. In total, 90.5% of multips and 63.4% of primips had a spontaneous vaginal delivery. Conclusions Amniotomy is a simple, safe and effective method of induction of labour. Amniotomy or artificial rupture of membranes is routinely used for induction of labour. To assess the efficacy of amniotomy alone for induction. A retrospective descriptive study of 3,586 cases of amniotomy for induction of labour between July 1996 and December 1999. In total, 26,670 women delivered in the National Maternity Hospital during the study period. Of these 4,928 women required induction of labour and 72.8% of these (n = 3,586) underwent amniotomy only for induction of labour. Spontaneous labour occurred in 90.1% of the women who underwent amniotomy within 24 h. Oxytocin as an induction agent was employed in 9.8% of cases. Overall, 80.5% of the women had a spontaneous delivery, 7.3% had a ventouse delivery, 4.3% had a forceps delivery, and 7.9% underwent a caesarean section. In total, 90.5% of multips and 63.4% of primips had a spontaneous vaginal delivery. Amniotomy is a simple, safe and effective method of induction of labour. |
Author | McQuillan, K. Keane, D. Geary, M. P. Cooley, S. M. O’Connell, M. P. McParland, P. |
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References | StephensonPABakoulaCHemminkiEPatterns of use of obstetrical interventions in 12 countriesPaediatric Perinatal Epidemiol200871455410.1111/j.1365-3016.1993.tb00600.x VrouenraetsFPRoumenFJDehingCJBishop score and risk of cesarean delivery after induction of labor in nulliparous womenObstet Gynecol2005105690 Bricker L, Luckas M (2000) Amniotomy alone for induction of labour. Cochrane Database Syst Rev 4 Boulvain M, Kelly A, Lohse C et al (2001) Mechanical methods for induction of labour. Cochrane Database Syst Rev 4 Howarth GR, Botha DJ (2001) Amniotomy plus intravenous oxytocin for induction of labour. Cochrane Database Syst Rev 3 SeybSTBerkaRJSocolMLRisk of cesarean delivery with elective induction of labor at term in nulliparous womenObstet Gynecol19999460010.1016/S0029-7844(99)00377-41:STN:280:DyaK1MvjvFertw%3D%3D10511367 O’DriscollKJacksonRJGallagherJTPrevention of prolonged labourBr Med J19692565547748010.1136/bmj.2.5655.4775771578 8426831 - Paediatr Perinat Epidemiol. 1993 Jan;7(1):45-54 10511367 - Obstet Gynecol. 1999 Oct;94(4):600-7 5771578 - Br Med J. 1969 May 24;2(5655):477-80 11687101 - Cochrane Database Syst Rev. 2001;(4):CD001233 15802392 - Obstet Gynecol. 2005 Apr;105(4):690-7 11034776 - Cochrane Database Syst Rev. 2000;(4):CD002862 11687061 - Cochrane Database Syst Rev. 2001;(3):CD003250 502_CR5 PA Stephenson (502_CR6) 2008; 7 ST Seyb (502_CR2) 1999; 94 502_CR4 502_CR3 502_CR1 K O’Driscoll (502_CR7) 1969; 2 |
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Snippet | Background
Amniotomy or artificial rupture of membranes is routinely used for induction of labour.
Aims
To assess the efficacy of amniotomy alone for... Amniotomy or artificial rupture of membranes is routinely used for induction of labour. To assess the efficacy of amniotomy alone for induction. A... BACKGROUNDAmniotomy or artificial rupture of membranes is routinely used for induction of labour. AIMSTo assess the efficacy of amniotomy alone for induction.... |
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SubjectTerms | Adult Amnion - surgery Family Medicine Female General Practice Humans Internal Medicine Labor, Induced - methods Male Medicine Medicine & Public Health Original Article Pregnancy Pregnancy Outcome Pregnancy, Prolonged - surgery Retrospective Studies |
Title | How effective is amniotomy as a means of induction of labour? |
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