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OB: Review Finds Routine Amniotomy of No BenefitFrom: art fougner, md (evsono@pipeline.com)Mon Nov 5 07:26:02 2007
>From Cochrane: The aim of breaking the waters (also known as artificial rupture of the membranes, ARM, or amniotomy), is to speed up and strengthen contractions, and thus shorten the length of labour. The membranes are punctured with a crochet-like long-handled hook during a vaginal examination, and the amniotic fluid floods out. Rupturing the membranes is thought to release chemicals and hormones that stimulate contractions. Amniotomy has been standard practice in recent years in many countries around the world. In some centres it is advocated and performed routinely in all women, and in many centres it is used for women whose labours have become prolonged. However, there is little evidence that a shorter labour has benefits for the mother or the baby. There are a number of potential important but rare risks associated with amniotomy, including problems with the umbilical cord or the baby's heart rate. http://www.cochrane.org/reviews/en/ab006167.html If it ain't broke, don't fix it? Art
-- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton
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