Comparative evaluation of artificial rupture of membranes and spontaneous rupture of membranes on course of labour and feto-maternal outcomes

Authors

  • Anjali Chauhan Department of Obstetrics and Gynaecology, Atal Bihari Vajpayee Institute of Medical Science and Dr. Ram Manohar Lohia Hospital, New Delhi. India
  • bani Sarkar Department of Obstetrics and Gynaecology, Atal Bihari Vajpayee Institute of Medical Science and Dr. Ram Manohar Lohia Hospital, New Delhi. India
  • Kritika Tanwar Department of Obstetrics and Gynaecology, Atal Bihari Vajpayee Institute of Medical Science and Dr. Ram Manohar Lohia Hospital, New Delhi. India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20204306

Keywords:

Amniotomy, ARM, Labour, SRM

Abstract

Background: Present study was undertaken to do a comparative evaluation of artificial rupture of membrane (ARM) and spontaneous rupture of membrane (SRM) on the course of labour and feto-maternal outcome.

Methods: It was prospective interventional randomized comparative study including 120 primigravidae (60 in ARM and SRM group each) with cervical dilatation ≥3 cm and intact membranes. Amniotomy was performed in ARM group after enrolment while no intervention in SRM group. Outcomes noted were duration of labor, mode of delivery, APGAR score, NICU stay.

Results: Significant reduction seen in duration of labour in ARM group (p=0.0001). Mean duration of labor was 5.24 hours in ARM group while 6.94 hours in SRM group. No significant difference noted in mode of delivery (p=0.082). No significant adverse feto-maternal outcomes were seen with amniotomy. APGAR score and NICU admission had no significant difference among the two groups.

Conclusions: ARM can be opted as an intervention with shorter duration of labour without adversely affecting the feto-maternal outcomes. It is safe, reliable and cost effective modality when employed in primigravida and may be considered as a low-cost accessible intervention to reduce prolonged labour and its associated complications.

 

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Published

2020-09-25

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Original Research Articles