Kathleen Lynaugh received her M.S.N. degree from the University of Kentucky in December, 1979, in the component of nurse-midwifery. She is presently employed as a staff nurse-midwife at the University of Kentucky Medical Center.
THE EFFECTS OF EARLY ELECTIVE AMNIOTOMY ON THE LENGTH OF LABOR AND THE CONDITION OF THE FETUS
Article first published online: 6 JAN 2011
1980 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 25, Issue 4, pages 3–9, July-August 1980
How to Cite
Lynaugh, K. H. (1980), THE EFFECTS OF EARLY ELECTIVE AMNIOTOMY ON THE LENGTH OF LABOR AND THE CONDITION OF THE FETUS. Journal of Nurse-Midwifery, 25: 3–9. doi: 10.1016/0091-2182(80)90175-5
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
Amniotomy is done frequently for the purpose of shortening labor or applying an internal fetal monitor electrode. To determine if amniotomy is warranted as a routine procedure, a systematic review of literature on the subject was done. Studies pertaining to the length of labor showed either no consistent effect of amniotomy, or a shorter labor by a maximum of 61.5 min with early amniotomy. Studies pertaining to the condition of the fetus showed increased incidence of caput succedaneum, skull bone disalignment, and early decelerations with early amniotomy. A small controlled study showed decreased pH of newborns with early amniotomy. There was no significant difference in Apgar score or neurological examination of the newborn with early amniotomy. The author concluded that early amniotomy should be reserved for use with specific indications, and should not be used routinely in the low-risk parturient.