"Artificially rupturing the sac increases your risk of infection and interventions (including the administration of Pitocin or an IV, need for electronic fetal monitoring, restricted movement and cesarean delivery). Artificial rupture of the amniotic membranes (ARM) during early labour is one of the most commonly performed procedures in midwifery practice. The membranes are punctured with a crochet-like long-handled hook during a vaginal examination, releasing the amniotic fluid. ARM can result in a labour that is slightly shorter than if the membranes are allowed to rupture spontaneously.
It is also important that the fetal head applies a sufficient amount of pressure on the cervix for the procedure to be effective. If conditions demand an amniotomy but the presenting fetal part is not yet engaged properly, the doctor’s assistant may apply external pressure on the fundal or suprapubic to hold the fetus in the right presenting position as the amniotomy is performed. After an amniotomy, the fetus’ heartbeat will be assessed for one full minute, which is also performed prior to the procedure. This is to check for any changes in the fetus’ condition and any warning signs that may signal fetal distress."
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