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Early routine amniotomy: an unnecessary procedure


J.P. Ndayisenga
D. Mukamana
O. Tengera
J. Murekezi
A. Muhayimana
Y.D. Nsaba Uwera

Abstract

Early routine amniotomy, also known as artificial rupture of the amniotic membrane, is one of the procedures used to induce and accelerate labour before cervical dilation reaches four centimeters. Because of its benefits and risks, there are at least two schools of thought about this controversial issue. The purpose of this paper is to argue against early routine amniotomy as an unnecessary procedure that can have drastic and unintended outcomes associated with the labour process, the fetus, and the mother. This commentary paper articulates that early routine amniotomy is a questionable procedure because its risks outweigh its benefits. Therefore, routine early amniotomy should be discouraged among obstetrical procedures.


Keywords: Amniotomy, artificial rupture of membrane, routine, labour, process


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eISSN: 2467-8252
print ISSN: 2360-7793