RANDOMIZED TRIAL COMPARING EARLY AMNIOTOMY VERSUS INTENT TO KEEP MEMBRANES INTACT IN NORMAL LABOR AT TERM

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BEYGE A.; ZARINKOB F.

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Journal: Tehran University Medical Journal Year:2005 | Volume:63 | Issue:9 Page(s): 697-702

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Title

RANDOMIZED TRIAL COMPARING EARLY AMNIOTOMY VERSUS INTENT TO KEEP MEMBRANES INTACT IN NORMAL LABOR AT TERM

Author(s)

BEYGE A. | ZARINKOB F. | Issue Writer Certificate

Keywords

AMNIOTOMYQ4

LABORQ3

FETAL MEMBRANESQ4

Abstract

Background: Our purpose was to compare outcome of LABOR in women who underwent two management policies: early AMNIOTOMY or leave the FETAL MEMBRANES intact as long as feasible.Material and methods: We carried out a prospective randomized trial on women admitted for spontaneous LABOR at term. A total of 80 women at early LABOR were randomized to either early AMNIOTOMY (early AMNIOTOMY group, n=40), or leave the FETAL MEMBRANES intact as long as possible ( control group, n =40). Main outcome measures were duration of LABOR, mode of delivery, lack of progress, oxytocine use, fetal distress, Apgar scores, five-minute Apgar score below 7, and neonatal. morbidity. Data were analyzed using student-t, Fisher- exact, and Mann whitney-u Tests. P<0.05 was considered statistically significant. . Results: Early AMNIOTOMY was associated with shorter LABOR. The average time from the beginning of active phase of LABOR to delivery was 47 minutes shorter in early AMNIOTOMY group ( 274 Vs 321 minutes,P=<0.05).The cesarean- section rate was similar in the two groups (7.5 % Vs 2.5%, P=>0.05). The groups were similar with respect to the occurrence of dystocia, need to oxytocin or abnormal fetal - heart –rate tracings during LABOR (P=>0.05). There were no statistically significant differences in outcome between the infants delivered by the women in the two groups.Conclusion: Early AMNIOTOMY is an effective method of shortening the duration of LABOR and has not any detrimental effects on maternal and neonatal health.

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APA: Copy

BEYGE, A., & ZARINKOB, F.. (2005). RANDOMIZED TRIAL COMPARING EARLY AMNIOTOMY VERSUS INTENT TO KEEP MEMBRANES INTACT IN NORMAL LABOR AT TERM. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 63(9), 697-702. SID. https://sid.ir/paper/38682/en

Vancouver: Copy

BEYGE A., ZARINKOB F.. RANDOMIZED TRIAL COMPARING EARLY AMNIOTOMY VERSUS INTENT TO KEEP MEMBRANES INTACT IN NORMAL LABOR AT TERM. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2005;63(9):697-702. Available from: https://sid.ir/paper/38682/en

IEEE: Copy

A. BEYGE, and F. ZARINKOB, “RANDOMIZED TRIAL COMPARING EARLY AMNIOTOMY VERSUS INTENT TO KEEP MEMBRANES INTACT IN NORMAL LABOR AT TERM,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 63, no. 9, pp. 697–702, 2005, [Online]. Available: https://sid.ir/paper/38682/en

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