Artificial rupture of membranes
(Redirected from Amniotomy)
Artificial rupture of membranes (AROM), also known as amniotomy, is a medical procedure in which the amniotic sac is deliberately ruptured by a healthcare provider. This procedure is commonly performed to induce or accelerate labor.
Procedure[edit | edit source]
The procedure is typically carried out using a sterile plastic hook, known as an amnihook, or a similar instrument. The healthcare provider inserts the instrument through the cervix and makes a small tear in the amniotic sac, allowing the amniotic fluid to drain. This can help to stimulate contractions and progress labor.
Indications[edit | edit source]
AROM may be indicated in several situations, including:
- To induce labor in a woman who is past her due date.
- To augment labor that has already begun but is progressing slowly.
- To allow for internal monitoring of the fetus.
- To assess the color and consistency of the amniotic fluid, which can provide information about the well-being of the fetus.
Risks and Complications[edit | edit source]
While AROM is generally considered safe, it does carry some risks, including:
- Infection: The risk of infection increases once the amniotic sac is ruptured.
- Umbilical cord prolapse: This is a rare but serious complication where the umbilical cord slips into the birth canal ahead of the baby.
- Fetal distress: The procedure can sometimes cause changes in the baby's heart rate.
Contraindications[edit | edit source]
AROM is not recommended in certain situations, such as:
- When the baby is not in a head-down position.
- When the mother has active genital herpes.
- When there is a known placenta previa.
Related Procedures[edit | edit source]
See Also[edit | edit source]
References[edit | edit source]
External Links[edit | edit source]
This obstetrics related article is a stub.
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Contributors: Prab R. Tumpati, MD