Re: view Finds Routine Amniotomy of No Benefit
From: art fougner, md (evsono@pipeline.com)
Mon Nov 5 15:56:36 2007
Here's another headline ...
I don't make 'em up. Just the messenger.
Amniotomy During Spontaneous Labor Benefits Neither Mother Nor Child
http://www.medpagetoday.com/OBGYN/Pregnancy/tb/7010
Art
At Tue, 6 Nov 2007, Raymond Stephen wrote:
>
>There is a difference between what Cochrane wrote - "...little evidence
>that a shorter labour has benefits..." and what you wrote - "Review
>Finds Routine Amniotomy of No Benefit".
>
>I beg your pardon.
>
>Steve
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
>fougner, md
>Sent: Tuesday, 6 November 2007 1:29 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: OB: Review Finds Routine Amniotomy of No Benefit
>
>>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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--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
