Is routine amniotomy during spontaneous labor useful? Review of the literature

Authors

  • Walter Ventura Unidad de Medicina Fetal, Instituto Nacional Materno Perinatal. Lima, Perú.
  • Nelly Lam Figueroa Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú.

DOI:

https://doi.org/10.15381/anales.v69i2.1156

Keywords:

Amniotomy, dystocia, labor, obstetric.

Abstract

Systematic amniotomy in pregnant women with spontaneous labor is largely practiced in Peruvian and world hospitals with documented prevalence up to 77%. Little is known on benefits and harms resulting to both fetus and mother. We searched the medical literature in order to find solid evidence to support or reject this practice. We conclude that systematic amniotomy alters the physiological evolution of labor shortening it about 50 minutes average. However, this has no clinical significance on both fetus and mother. Conversely, routine practice may increase incidence of dysfunctional labor and five minutes less than seven Apgar score.

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Published

2013-02-25

Issue

Vol. 69 No. 2 (2008)

Section

Artículos de Revisión

License

Copyright (c) 2013 Walter Ventura, Nelly Lam Figueroa

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How to Cite

1.
Ventura W, Lam Figueroa N. Is routine amniotomy during spontaneous labor useful? Review of the literature. An Fac med [Internet]. 2013 Feb. 25 [cited 2025 Jun. 17];69(2):127-9. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/1156