Amniotomy: 8 things you need to know


Infection is another potential complication but exceedingly rare with AROM as the time from rupture to birth is relatively short. Occasionally, rupture of the bag of waters may put a woman (especially a woman who has had a baby already) into tumultuous labor so one must always be prepared for the baby's arrival after amniotomy.

Are there alternatives?
Amniotomy should never be a routine procedure merely to speed the birth process. This procedure should be used after careful deliberation, informed consent and for a clear specific indication. The decision to perform an amniotomy should never be undertaken lightly and should always be discussed with the mother and her partner or family. Most midwives would try alternatives to amniotomy to augment or induce labor such as sweeping of the membranes, walking, or relaxing therapies such as water or sleep. If induction of labor is necessary, IV oxytocin is most often used initially and then rupture of membranes may be reserved for later when the mother is in more active labor.

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