Amniotomy for Labor Induction

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9 Questions

What is the main disadvantage of using amniotomy alone for labor induction?

Unpredictable and occasionally long interval until labor onset

In a trial by Bakos and Bäckström, what was found to be superior to oxytocin alone for labor induction?

Amniotomy combined with oxytocin

What effect did early amniotomy have on labor duration according to Mercer and colleagues (1995)?

Decreased by 4 hours

What was reported by De Vivo and associates (2020) regarding the risk of cesarean delivery with early amniotomy?

No impact on cesarean delivery risk

When is amniotomy commonly performed for labor augmentation?

When labor is abnormally slow

What effect did amniotomy at approximately 5-cm dilation have on spontaneous labor according to Table 26-6?

Accelerated spontaneous labor by 1 to 11⁄2 hours

What was found NOT to be higher following amniotomy at approximately 5-cm dilation according to the text?

Overall cesarean delivery rate

What was the main finding in a trial by Mercer and colleagues (1995) regarding early vs late amniotomy?

-4 hour reduction in labor duration with early amniotomy

'Early amniotomy' refers to performing amniotomy at which cervical dilation according to Mercer and colleagues (1995)?

-1 to -2 cm dilation

Learn about the procedure of elective amniotomy for accelerating labor and the advantages and disadvantages associated with it. Explore the results of a randomized trial comparing amniotomy alone with amniotomy combined with oxytocin for labor induction.

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