Tuesday, October 30, 2007

Breaking the waters does not shorten labour

According to a Cochrane systematic review of 14 multicentre, randomised controlled trials involving 4893 women, amniotomy, also called breaking the waters, did not speed delivery.

Amniotomy, artificial rupture of the fetal membranes to induce labor, is one of the most commonly performed procedures to speed contractions, thereby shortening the length of labor. However, the reviewers said that there is little evidence that a shorter labor has benefits for either mother or child and concluded the evidence does not support the routine breaking the waters for women in spontaneous labour.

Source: "Amniotomy for shortening spontaneous labour" - Cochrane Database of Systematic Reviews 2007, Issue 4.

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