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Effect of Early Amniotomy on Delivery Outcome with/without Cervical Ripening: A Systematic Review and Meta-Analysis.
Zeidi, Banafsheh Mohammadi; Zare, Ommolbanin; Kiapour, Azadeh.
Afiliación
  • Zeidi BM; Department of Midwifery, School of Medical Sciences Tonekabone Branch, Islamic Azad University, Tonekabone, Iran.
  • Zare O; Department of Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad University, Babol, Iran.
  • Kiapour A; Department of Statistics, Islamic Azad University, Babol Branch, Iran.
Iran J Nurs Midwifery Res ; 29(2): 152-158, 2024.
Article en En | MEDLINE | ID: mdl-38721239
ABSTRACT

Background:

Although shorter labors are the benefits of Early Amniotomy (EA), it may lead to risks such as non-reassuring fetal testing and cesarean delivery. Also, the effect of cervical ripening to induce labor before amniotomy is unknown. This systematic review and meta-analysis evaluated the effect of EA on the delivery outcome with or without cervical ripening. Materials and

Methods:

Bibliographic search was conducted without time limit until June 2020. PubMed, Scopus SID Magiran, Cochrane Library Science website, and ISI databases were searched with English and Farsi keywords, including amniotomy, delivery, induced, and pregnancy outcome.

Results:

The meta-analysis on ten clinical trials showed that the incidence of cesarean section was lower (0.89% VS 0.94; relative risk, 0.85; 95% confidence interval, 0.55-1.30) compared to the group without cervical ripening, and the time to induce labor was approximately 55 minutes (mean difference, 0.91 hour; 95% confidence interval, -1.43 to - 0.33).

Conclusions:

If EA is performed in women after cervical ripening, the incidence of cesarean section will not increase, and the duration of labor will be reduced. A shorter delivery time is associated with perinatal benefits and greater maternal satisfaction. Furthermore, EA with cervical ripening may reduce monitoring time in busy hospitals with limited medical staff.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Iran J Nurs Midwifery Res Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Iran J Nurs Midwifery Res Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: India