Study of Women in Labor with Artificial Rupture of Membranes and its Effect on the Duration of Labor

Abstract

In a venture to reduce maternal mortality especially by post-partumhemorrhage and prolonged and protracted labor many labor room procedures are in practice. The purpose of this study is to compare laborers with and without amniotomy concerning the duration of admission to delivery interval, mode of delivery (vaginal or cesarean), and fetal compromise in form of Apgar score.In the background of augmentation of labor by routine amniotomy in normally progressing labor, this study was carried out on 156 parous women in the Department of Obstetrics and Gynaecology at C. R. Gardi Hospital, Ujjain, Central India from January 2017 to January 2018. Doing artificial rupture of membranes at 3-4 cm dilatation was the main procedure. Results showed a definite reduction in admission to a delivery interval in primigravida and multipara (p=0.00). There was no effect on mode of delivery, the requirement of addition of oxytocin, and poor Apgar score (< 7); p-value being more than 0.05. Concluding our result findings, amniotomy as a routine procedure in the labor room helps reduce the length of labor.