Re: view Finds Routine Amniotomy of No Benefit
From: mark decker (mhdmd@wi.rr.com)
Tue Nov 6 07:22:50 2007
31-60% of the non amniotomy group had an amniotomy at some point in labor -
the increased fht abnormality and cesarean rates would be associated
with the reason to perform an amniotomy in the first place - i know
you all know that already - no flames no flames - gggg -
so as the said interpret with caution
just fluff to me - i never really did them just do do them - i
always had a reason -
routine amniotomy = many with no good reason - and there is a risk -
so why do something with no gain and some risk? - that's how i think
about what i do - risk - benefit
--
mark decker
At 04:57 PM 11/5/2007, you wrote:
>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
