When Should Amniotomy Be Done
Artificial Rupture of the Membranes (Arom), Amniotomy, Is Performed When the Cervix Is Partially Dilated and Effaced, and with the Fetus in a Vertex...
Artificial rupture of the membranes (AROM), amniotomy, is performed when the cervix is partially dilated and effaced, and with the fetus in a vertex presentation with the head well applied to the cervix to avoid prolapse of the umbilical cord (or other presenting part).
When do you perform amniotomy?
Amniotomy is usually performed for the purpose of inducing or expediting labor or in anticipation of the placement of internal monitors (uterine pressure catheters or fetal scalp electrodes). It is typically done at the bedside in the labor and delivery suite.
What should you assess before amniotomy?
The fetal heart rate (FHR) is assessed with auscultation or electronic monitoring to identify a reassuring rate and pattern before amniotomy is done. A minimum of 20 to 30 minutes is needed for adequate fetal baseline evaluation and can be obtained with other admission information.
Alexander Ross has covered the video game industry for a decade, writing deep dives on game design, esports tournaments, VR developments, and gaming culture.
