Artificial rupture of membranes

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(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.

Contributors: Prab R. Tumpati, MD