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Amniotomy for shortening spontaneous labour

  1. Rebecca MD Smyth1,*,
  2. Carolyn Markham2,
  3. Therese Dowswell3

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 18 JUN 2013

Assessed as up-to-date: 10 JUN 2013

DOI: 10.1002/14651858.CD006167.pub4


How to Cite

Smyth RMD, Markham C, Dowswell T. Amniotomy for shortening spontaneous labour. Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD006167. DOI: 10.1002/14651858.CD006167.pub4.

Author Information

  1. 1

    The University of Manchester, School of Nursing, Midwifery and Social Work, Manchester, UK

  2. 2

    Northampton, UK

  3. 3

    The University of Liverpool, Cochrane Pregnancy and Childbirth Group, Department of Women's and Children's Health, Liverpool, UK

*Rebecca MD Smyth, School of Nursing, Midwifery and Social Work, The University of Manchester, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK. rebecca.smyth@manchester.ac.uk.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 18 JUN 2013

SEARCH

[Figure 1]
Figure 1. 'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Amniotomy versus no amniotomy, Outcome 1 Length of first stage of labour.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Amniotomy versus no amniotomy, Outcome 2 Caesarean section.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Amniotomy versus no amniotomy, Outcome 3 Maternal satisfaction with childbirth experience.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Amniotomy versus no amniotomy, Outcome 4 Apgar score less than 7 at 5 minutes.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Amniotomy versus no amniotomy, Outcome 5 Length of second stage.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Amniotomy versus no amniotomy, Outcome 6 Dysfunctional labour.
[Analysis 1.7]
Analysis 1.7. Comparison 1 Amniotomy versus no amniotomy, Outcome 7 Use of pain relief - epidural/narcotic.
[Analysis 1.8]
Analysis 1.8. Comparison 1 Amniotomy versus no amniotomy, Outcome 8 Oxytocin augmentation.
[Analysis 1.9]
Analysis 1.9. Comparison 1 Amniotomy versus no amniotomy, Outcome 9 Instrumental vaginal birth.
[Analysis 1.10]
Analysis 1.10. Comparison 1 Amniotomy versus no amniotomy, Outcome 10 Caesarean section for fetal distress.
[Analysis 1.11]
Analysis 1.11. Comparison 1 Amniotomy versus no amniotomy, Outcome 11 Caesarean section for prolonged labour.
[Analysis 1.12]
Analysis 1.12. Comparison 1 Amniotomy versus no amniotomy, Outcome 12 Antepartum haemorrhage.
[Analysis 1.13]
Analysis 1.13. Comparison 1 Amniotomy versus no amniotomy, Outcome 13 Postpartum haemorrhage.
[Analysis 1.14]
Analysis 1.14. Comparison 1 Amniotomy versus no amniotomy, Outcome 14 Cord prolapse.
[Analysis 1.15]
Analysis 1.15. Comparison 1 Amniotomy versus no amniotomy, Outcome 15 Maternal infection.
[Analysis 1.16]
Analysis 1.16. Comparison 1 Amniotomy versus no amniotomy, Outcome 16 Maternal mortality.
[Analysis 1.17]
Analysis 1.17. Comparison 1 Amniotomy versus no amniotomy, Outcome 17 Suboptimal or abnormal fetal heart trace (second stage of labour).
[Analysis 1.18]
Analysis 1.18. Comparison 1 Amniotomy versus no amniotomy, Outcome 18 Admission to special care baby unit/neonatal intensive care unit.
[Analysis 1.19]
Analysis 1.19. Comparison 1 Amniotomy versus no amniotomy, Outcome 19 Suboptimal or abnormal fetal heart trace (first stage of labour).
[Analysis 1.20]
Analysis 1.20. Comparison 1 Amniotomy versus no amniotomy, Outcome 20 Meconium aspiration syndrome.
[Analysis 1.21]
Analysis 1.21. Comparison 1 Amniotomy versus no amniotomy, Outcome 21 Acidosis as defined as a cord blood arterial pH of < 7.2.
[Analysis 1.22]
Analysis 1.22. Comparison 1 Amniotomy versus no amniotomy, Outcome 22 Perinatal death.
[Analysis 1.23]
Analysis 1.23. Comparison 1 Amniotomy versus no amniotomy, Outcome 23 Neonatal jaundice.
[Analysis 1.24]
Analysis 1.24. Comparison 1 Amniotomy versus no amniotomy, Outcome 24 Seizures (neonate).
[Analysis 1.25]
Analysis 1.25. Comparison 1 Amniotomy versus no amniotomy, Outcome 25 Respiratory distress syndrome.
[Analysis 1.26]
Analysis 1.26. Comparison 1 Amniotomy versus no amniotomy, Outcome 26 Fracture.
[Analysis 1.27]
Analysis 1.27. Comparison 1 Amniotomy versus no amniotomy, Outcome 27 Intracranial haemorrhage.
[Analysis 1.28]
Analysis 1.28. Comparison 1 Amniotomy versus no amniotomy, Outcome 28 Cephalhaematoma.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Sensitivity analysis excluding trials with inadequate allocation concealment (c), Outcome 1 Length of first stage of labour.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Sensitivity analysis excluding trials with inadequate allocation concealment (c), Outcome 2 Caesarean section.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Sensitivity analysis excluding trials with inadequate allocation concealment (c), Outcome 3 Apgar score less than 7 at 5 minutes.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 1 Caesarean section.
[Analysis 3.2]
Analysis 3.2. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 2 Maternal satisfaction with childbirth experience.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 3 Apgar score less than 7 at 5 minutes.
[Analysis 3.4]
Analysis 3.4. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 4 Use of pain relief - epidural/narcotic.
[Analysis 3.5]
Analysis 3.5. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 5 Oxytocin augmentation.
[Analysis 3.6]
Analysis 3.6. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 6 Instrumental vaginal birth.
[Analysis 3.7]
Analysis 3.7. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 7 Caesarean section for fetal distress.
[Analysis 3.8]
Analysis 3.8. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 8 Caesarean section for prolonged labour.
[Analysis 3.9]
Analysis 3.9. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 9 Maternal mortality.
[Analysis 3.10]
Analysis 3.10. Comparison 3 Amniotomy vs no amniotomy (dysfunctional labour), Outcome 10 Admission to special care baby unit/neonatal intensive care unit.