Is Amniotomy Safe?

When the uterus relaxes, the blood lam is restored. If the placenta is healthy and uterine relaxation is adequate, blood flow refurbishment is generally adequate to preclude deleterious consequences. As stab progresses, however, the mild hypoxic condition can gradually develop lead story to fetal acidosis. In fact, get can almost be thought of as a race between state-of-the-art fetal acidosis and dilatation of the neck opening (Stewart et al., 1982, p. 41). Thus it is physiologically self-assertive that the process occur expeditiously.

A number of methods may be employed to either induce or augment cranch (Milhan, 1992, p. 17). These include both invasive offices as rise as physiologic approaches (Milhan, 1992, p. 17). The decision as to which particular proficiency is beat out has been the subject of considerable controversy (Bakos & Backstrom, 1987, p. 537). One invasive procedure that has received a lot of attention is early, or elected, amniotomy.

elective amniotomy has been defined as "amniotomy done after labor is established, yet before 6 centimeters dilatation" (Lynaugh, 1980, p. 3). The procedure is thought to induce labor by accelerating the prize of cervical dilatation (Stewart et al., 1982, p. 41).

The technique basically involves instrumental rupture of the placental membranes. During examination, the clinician's fingers are inserted into the vagina and cervix until the fetus' presenting part is palpated through the amni

Stewart, P.; Kennedy, J. H., & Calder, A. A. (1982). willing labor: When should the membranes be ruptured? British Journal of Obstetrics and Gynaecology, 89, 3943.

In addition, Steer et al. (1982) failed to show any influence of amniotomy time on the incidence of early fetal heart rate decelerations (Stewart et al., 1982, p. 42). Moreover, when performed judiciously (i.e., when the fetus' presenting part is firmly applied to the cervix and well down on the pelvis), amniotomy does not increase the risk of electric cord prolapse over spontaneous membrane rupture (Fraser & Sokol, 1992, p. 537).

Finally, Fraser & Sokol (1992) did watch over that amniotomy does not appear to place the baby at increase risk for aphyxia (Fraser & Sokol, 1992, p. 543).

Smith, M. A.; Ruffin, M. T. IV, & Green, L. A. (1993, May 1). The rational management of labor. American Family Physician, 47, 14711481.

variety in health care deserves careful consideration. Ideally, the safety and dexterity of new techniques should be irrefutable. Often such evidence does not exist. Only through objective analysis of the facts can a prudent course of action be determined. In the reference of amniotomy, it appears that the benefits outweigh the risk.

Since at least the beginning of the second half(prenominal) of this centuryand perhaps even earlier than thatamniotomy has been widely authoritative as a means of improving the efficiency of labor (Baumgarten, 1976, p. 3). The procedure was first introduced into clinical practice by Kreis in 1928 (Parisi, 1993, p. 1193). Over the years, it has continued to be a subject of fence within the obstetrical community (Parisi, 1993, p. 1193).

Lynaugh, K. H. (1980, JulyAugust). The effects of early elective amniotomy on the length of labor and the condition of the fetus. Journal of guardMidwifery, 25, 39.

Order your essay at Orderessay and get a 100% original and high-quality custom paper within the required time frame.