Amniotomy

Question 1

Purpose of Amniotomy

Answer 1

As a method of induction of labor during the 1st stage

2.) Augment labor (Prostaglandin helps stimulating labor)

3.) To allow access to the fetus to apply an internal fetal heart monitoring electrode to fetal scalp

Question 2

An artificial rupture of the amniotic membranes (AROM)

Most common operative procedure

Instrument is inserted through the cervix at least 3cm of cervical dilatation

Safest, easiest and surest way to induce labor

Answer 2

Amniotomy (Uses amniotome or amniohook)

Question 3

Risks

Answer 3

1.) Prolapse of the umbilical cord

2.) Infection

3.) Abruptio Placenta

Question 4

Procedure

Answer 4

1.) While performing a vaginal exam, MD, RN introduces an amniohook into the vagina

2.) A small tear is made in the amniotic membrane

3.) Following rupture of the membrane, amniotic fluid is allowed to escape

Question 5

____ if the presenting part is high in the pelvis or the presenting part is not cephalic

Answer 5

Deferred

Question 6

When is the best time to rupture amniotic fluid membranes?

Answer 6

During relaxation and not contraction.

Question 7

Purpose 2

Answer 7

To obtain fetal scalp blood sample for acid base determination

To assess the color and composition of amniotic fluid

Question 8

Management

Answer 8

1.) Patient is in semi reclining position and draped to provide privacy

2.) FHR monitored before and immediately after and they are compared

3.) Amniotic fluid is inspected for amount color, odor and presence of meconium or blood

Question 9

Management 2

Answer 9

1.) Clean and dries perineal area and change under pads

2.) Temp is monitored every 2 hours

3.) If meconium is present, inform mother to expect special intervention at birth

4.) After birth if meconium is present, vocal cord of baby is visualized and deep suctioning is done