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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Currently 3046 records
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Created on : 19 Jan 2006
Modified on : 23 Mar 2018

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Bibliographical entry (without author) :

Early amniotomy - high risk factor for cesarean section. EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY 86 (2): 145-149 OCT 1999

Author(s) :

Segal D, Sheiner E, Yohai D, Shoham-Vardi I, Katz M

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To evaluate the effect of early amniotomy on mode of delivery and pregnancy outcome in comparison to a group of patients admitted with premature rupture of membranes at term.

STUDY DESIGN: The study population consists of all women (n=338) whose labor was induced by amniotomy, between the years 1988 to 1995. The comparison group were all women (n=1865) who were admitted with premature rupture of membranes during the same period.

RESULTS: Cesarean section was significantly higher in the amniotomy group than in the comparison group (162 (47.9%) vs. 348 (18.7%), P0.001). This significant difference was noted only for those who did not had a previous cesarean section (106 (42.4%) vs. 224 (13.8%), P0.001). Non progressive labor during the first stage was threefold higher in the amniotomy group than in the control group (30.8% vs. 10.9%, P0.001). Abnormal fetal heart rate patterns were detected during labor in 52 patients (15.4%) of amniotomy group, as compared to 141 cases (7.6%) in the control group (P0.001). To assess the independent contribution of early amniotomy to having cesarean section in the present delivery, a multiple logistic model was used. Early amniotomy (odds ratio [OR] 3.07, 95% confidence interval [CI] 2.36-4.01), as well as a previous cesarean section (OR 5.04, 95% CI 3.90-6.52) and high parity (OR 1.07, 95% CI 1.03-1.26) were all found as independent risk factors for cesarean section.

CONCLUSIONS: Early amniotomy appears to be associated with an increased risk for cesarean section.

Sumário (português)  :

Comments :

Argument (français) :

L’amniotomie précoce est apparue comme étant associée à un risque plus élevé de césarienne
Early amniotomy appears to be associated with an increased risk for cesarean section.

Argument (English):

Argumento (português):

Keywords :

➡ c-section/caesarean ; amniotomy ; active management of labor ; sweeping of membranes

Author of this record :

Sandrine Péneau — 19 Jan 2006
➡ latest update : Bernard Bel — 23 Mar 2018

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