415: Early amniotomy in labor induction

The Association between Early Artificial Amniotomy and Chorioamnionitis in Nulliparous Induction of Labor

Objectives. To investigate whether early artificial amniotomy (AROM) <4 cm in nulliparous women admitted for induction of labor was associated with an increased rate of chorioamnionitis and cesarean section or a decreased time to vaginal delivery. Study Design. A retrospective cohort study was performed on nulliparous women with a term, singleton gestation and intact membranes who presented for...

Intravenous prostaglandin F2alpha and amniotomy for the elective induction of labor at term.

In an earlier trial [7, 11] with intravenously administered PGF2# for the elective induction of multiparae at term, amniotomy was delayed to comply with FD A regulations. As a consequence, the Start of the electronic supervision was also postponed and thus the refined ässessment of the potential fetal ha2ards of PGF2& was prevented. The present study was tailored in accordance with the dual pur...

The effect of routine early amniotomy on spontaneous labor: a meta-analysis.

OBJECTIVE To obtain estimates of the effects of amniotomy on the risk of cesarean delivery and on other indicators of maternal and neonatal morbidity (Apgar score less than 7 at 5 minutes, admission to neonatal intensive care unit [NICU]). DATA SOURCES Published studies were identified through manual and computerized searches using Medline and the Cochrane Collaboration Pregnancy and Childbir...

Buccal oxytocin after amniotomy for induction of labour.

In a recent article (Ritchie and Brudenell, 1966) we reported the results from using buccal oxytocin as a routine after amniotomy for induction of labour. By use of a standard course with a maximum of 3,800 units of buccal oxytocin and measuring the results in terms of induction delivery interval and the proportion not delivered 24 hours after amniotomy, improvements were obtained of approximat...

Early induction of labor: legal and ethical considerations.