-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: OB: Review Finds Routine Amniotomy of No Benefit From: Joanne Bulley, MD (islesannie@gmail.com) Mon Nov 5 10:24:37 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: OB: Review Finds Routine Amniotomy of No Benefit" Previous message: art fougner, md: "Re: Gyn: Colpexin" In reply to: Efrain Ramirez: "Re: OB: Review Finds Routine Amniotomy of No Benefit" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: OB: Review Finds Routine Amniotomy of No Benefit" The difference may be "routine" - ALWAYS doing AROM at ... say 3 or 6 cm vs labor is going (and going and going) and it is done therapeutically - so hopefully the "practice" would be "judicious" use of amniotomy as opposed to "routine" - and although I have not read this entire Cochrane review - it does not sound like it separates between the judicious to augment vs routine of "we always do it at 5 cm" ... Just my $0.02 - could be wrong AND I don't do Ob anymore so should probably not even give those 2 cents worth! Joanne At Mon, 5 Nov 2007, Efrain Ramirez wrote: > >It is not my experience FWIW - many times it does help. > >Ef > >At Mon, 5 Nov 2007, art fougner, md wrote: >> >>>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 >> >-- >"I can accept failure, but I can't accept not trying." - Michael Jordan > -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: OB: Review Finds Routine Amniotomy of No Benefit" Previous message: art fougner, md: "Re: Gyn: Colpexin" In reply to: Efrain Ramirez: "Re: OB: Review Finds Routine Amniotomy of No Benefit" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: OB: Review Finds Routine Amniotomy of No Benefit"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Sep 2 05:11:48 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.