When first-time mothers are induced, breaking the amniotic membrane shortens delivery time

Feb 10, 2011

In a study to be presented today at the Society for Maternal-Fetal Medicine's (SMFM) annual meeting, The Pregnancy Meeting, in San Francisco, researchers will present findings that show that by performing an amniotomy on first time mothers in situations when labor has to be induced, that delivery time can be shortened by more than 10 percent.

There are many reasons that labor may need to be induced after a woman's due date. Today's study looked at whether or not performing an amniotomy early on in the labor process would shorten delivery time and whether it would cause any adverse affects.

The researchers performed a . Nulliparous patients with singleton, viable pregnancies undergoing labor induction at or beyond 37 weeks were eligible for inclusion. They excluded subjects with PROM, cervical dilation > 4cm at admission, or significant vaginal bleeding.

Eligible subjects were randomized to early amniotomy (AROM at ≤ 4cm) or standard management (AROM at > 4cm). Outcomes for this study included duration of labor, % delivered within 24 hours, cesarean rate, maternal infectious complications, and measures of neonatal outcome. A priori sample size was based on the proportion of subjects delivered within 24 hours of randomization.

The study randomized 585 subjects into the clinical trial, 292 into early amniotomy group and 293 into the standard management group. Baseline demographics at randomization, cervical dilation at admission, and methods of induction were similar between the groups. Early amniotomy shortened the time from randomization to delivery by over 2 hours (p=0.04) and increased the proportion of subjects delivered within 24 hours of randomization.

The study found that by doing an early amniotomy, you can shorten the time to delivery by over 10 percent, and increase the likelihood of delivery within 24 hours without adversely impacting maternal or neonatal well-being.

"I think this offers the first bit of evidence that shows that by performing an amniotomy early in labor, you can shorten time by a significant amount with no ill effects to the mother or baby," said George Macones, M.D., one of the study's authors. "This greatly increases the comfort of the mother."

Explore further: Radiologist recommendations for chest CT have high clinical yield

Provided by Society for Maternal-Fetal Medicine

not rated yet
add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Obese British man in court fight for surgery

Jul 11, 2011

A British man weighing 22 stone (139 kilograms, 306 pounds) launched a court appeal Monday against a decision to refuse him state-funded obesity surgery because he is not fat enough.

2008 crisis spurred rise in suicides in Europe

Jul 08, 2011

The financial crisis that began to hit Europe in mid-2008 reversed a steady, years-long fall in suicides among people of working age, according to a letter published on Friday by The Lancet.

New food labels dished up to keep Europe healthy

Jul 06, 2011

A groundbreaking deal on compulsory new food labels Wednesday is set to give Europeans clear information on the nutritional and energy content of products, as well as country of origin.

Overweight men have poorer sperm count

Jul 04, 2011

Overweight or obese men, like their female counterparts, have a lower chance of becoming a parent, according to a comparison of sperm quality presented at a European fertility meeting Monday.

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.