Compare the effect of amniotomy and oxytocin infusion in duration of labour

Katta Jyothi, Senadhipathi Shakunthala


Background: Labour is a unique experience in a women’s life, it is a physiological but painful event. It is a dynamic and continuous process which cumulates in the birth of a healthy baby followed by expulsion of the placenta and the membranes. The objective of this study was to determine the effectiveness of amniotomy and oxytocin in terms of duration of labour, mode of delivery and maternal and fetal outcome.

Methods: A non-randomized comparative study of accelerating effect of  oxytocin and amniotomy has been studied, in the age group of 19-30 years, who are admitted in obstetric ward 200 primigravidae were studied out of which 100 belongs to control group and 100 study group.

Results: In the study series 93 cases had labour lasting less than 4 hours when compared to only. The mean total duration of labour is reduced in study group with a difference of 204 minutes. Quantity and duration of blood loss is significantly less in study group when compared to control group. There was no significant difference in terms of mode of delivery, maternal and foetal outcome between the two groups.

Conclusions: Oxytocin infusion combined with amniotomy is safe and effective in accelerating the first and second stage of labour in apparently normal cases. No statistically significant adverse effects were noted with oxytocin infusion and amniotomy.


Amniotomy, Duration of blood loss, Oxytocin infusion

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Klasko SK, Cummings RV, Balducci J, DeFulvio JD, Reed JF. 3rd The impact of mandated in-hospital coverage on primary cesarean delivery rates in a large non-university teaching hospital. Am J Obstet Gynecol. 1995;172(2 Pt 1):637-42.

Spetz J, Smith MW, Ennis SF. Physician incentives and the timing of cesarean sections: evidence from California. Med Care. 2001;39(6):536-50.

Barber EL, Lundsberg LS, Belanger K, Pettker CM, Funai EF, Illuzzi JL. Indications contributing to the increasing cesarean delivery rate. Obstet Gynecol. 2011;118(1):29-38.

Mikki, Wick N, Abu-Asab L, Abu-Rmeileh N, Niveen. A trial of amniotomy in a Palestinian hospital. J Obstet Gynaecol. 2007;27:368-73.

Abdullah A, Saboohi S, Hashami U. Effects of amniotomy versus spontaneous rupture of membrane on progress of labour and foetal outcome in primigravidae. J Liaq Uni Med Health Sci. 2010;9(1):33-6.

Blanch G, Walkinshaw S, Alfirevic Z. Dysfunctional labour: a randomised trial. Br J Obst Gynaecol. 1998;105:117-20.

Sadler LC, Davison T, McCowan LME. Maternal satisfaction with active management of labor: a randomized controlled trial. Birth. 2001;28:225-35.

Clark SL, Simpson KR, Knox GE, Garite TJ. Oxytocin: new perspectives on an old drug. Am J Obstet Gynecol. 2009;200:35e1-6.

Gagnon-Gervais K, Iglesias MH, Duperron L, Masse A, Mayrand MH, Sansregret A, et al. Early vs late amniotomy for labor induction: a randomized controlled trial. Am J Obst Gynecol. 2011;204(1 Suppl):S127.

Serman F, Benavides C, Sandoval J, Pazols R, Bernedo J, Fuenzalida R, et al. Active labour management in primiparas. Prospective study. Int J Obst Anesth. 1995;60(1):6-11.

Vergani P, Ornaghi S, Pozzi I, Beretta P, Russo FM, Follesa I, Ghidini A. Placenta previa: distance to internal os and mode of delivery. Am J Obstet Gynecol. 2009;201(3):266.e1-266.e5.

Tuddenham SA, Rahman MH, Singh S, Barman D, Kanjilal B. Care seeking for postpartum morbidities in Murshidabad, rural India. Int J Gynaecol Obstet. 2010;109:245-6.

Dhakal S, Chapman GN, Simkhada PP, van Teijlingen ER, Stephens J, Raja AE. Utilisation of postnatal care among rural women in Nepal. BMC Pregnancy Childbirth. 2007;7:19.