Effect of early amniotomy on the outcome of spontaneous labour: a randomized controlled trial of pregnant women in Enugu, South-east Nigeria.

Q4 Social Sciences Indian Journal of Social Work Pub Date : 2015-12-01 DOI:10.4314/ahs.v15i4.7

Livinus N Onah, Cyril C Dim, Uchenna I Nwagha, Benjamin C Ozumba

{"title":"Effect of early amniotomy on the outcome of spontaneous labour: a randomized controlled trial of pregnant women in Enugu, South-east Nigeria.","authors":"Livinus N Onah, Cyril C Dim, Uchenna I Nwagha, Benjamin C Ozumba","doi":"10.4314/ahs.v15i4.7","DOIUrl":null,"url":null,"abstract":"Background: Early amniotomy is common in obstetric practice but, its effectiveness has not been proven.Objectives: To determine the effects of early amniotomy on the duration of labour, and other maternal / neonatal outcomes of uncomplicated pregnancies in Enugu, South-east Nigeria.Methods: A randomized controlled study of 214 consenting term pregnant women at the University of Nigeria Teaching Hospital Enugu, Nigeria. Intervention group received amniotomy early in active labour while the control group had their membranes conserved.Results: Mean duration of labour for the amniotomy group (279.4 ± 53.7 minutes) was significantly lower than that of control group (354.4 ± 67.5 minutes), (t = -8.988, p <0.001). Three (3.8%) women in amniotomy group needed oxytocin augmentation as against 21 (19.6%) women in the control group RR = 0.14, (CI 95%: 0.04 - 0.46), NNT = 16. The two groups did not vary with respect to cesarean section rate, newborn Apgar scores, and need for new born special care unit admission.Conclusion: Early amniotomy when compared to fetal membrane conservation reduced the duration of labour and need for oxytocin augmentation among term singleton pregnant women in Enugu, Nigeria. Its routine use in well selected cases may reduce prolonged labour and its complications.","PeriodicalId":35584,"journal":{"name":"Indian Journal of Social Work","volume":"81 1","pages":"1097-103"},"PeriodicalIF":0.0000,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765421/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Social Work","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4314/ahs.v15i4.7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Social Sciences","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Early amniotomy is common in obstetric practice but, its effectiveness has not been proven.

Objectives: To determine the effects of early amniotomy on the duration of labour, and other maternal / neonatal outcomes of uncomplicated pregnancies in Enugu, South-east Nigeria.

Methods: A randomized controlled study of 214 consenting term pregnant women at the University of Nigeria Teaching Hospital Enugu, Nigeria. Intervention group received amniotomy early in active labour while the control group had their membranes conserved.

Results: Mean duration of labour for the amniotomy group (279.4 ± 53.7 minutes) was significantly lower than that of control group (354.4 ± 67.5 minutes), (t = -8.988, p <0.001). Three (3.8%) women in amniotomy group needed oxytocin augmentation as against 21 (19.6%) women in the control group RR = 0.14, (CI 95%: 0.04 - 0.46), NNT = 16. The two groups did not vary with respect to cesarean section rate, newborn Apgar scores, and need for new born special care unit admission.

Conclusion: Early amniotomy when compared to fetal membrane conservation reduced the duration of labour and need for oxytocin augmentation among term singleton pregnant women in Enugu, Nigeria. Its routine use in well selected cases may reduce prolonged labour and its complications.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

早期羊膜切开术对自然分娩结果的影响：对尼日利亚东南部埃努古孕妇的随机对照试验。

背景：早期羊膜切开术在产科实践中很常见，但其有效性尚未得到证实：确定早期羊膜腔切开术对尼日利亚东南部埃努古无并发症妊娠的产程及其他孕产妇/新生儿结局的影响：在尼日利亚埃努古大学教学医院对 214 名同意的足月孕妇进行随机对照研究。干预组在活跃产程早期接受羊膜切开术，而对照组则保留胎膜：羊膜腔切开术组的平均产程（279.4 ± 53.7 分钟）明显低于对照组（354.4 ± 67.5 分钟），（t = -8.988，p 结论：羊膜腔切开术组的平均产程（279.4 ± 53.7 分钟）明显低于对照组（354.4 ± 67.5 分钟）：与胎膜保存术相比，早期羊膜切开术缩短了尼日利亚埃努古地区足月单胎孕妇的产程，并减少了催产素扩容的需求。在经过精心挑选的病例中常规使用羊膜腔切开术可减少产程延长及其并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Indian Journal of Social Work Social Sciences-Social Sciences (miscellaneous)

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： The Indian Journal of Social Work (IJSW) is the flagship publication of the Tata Institute of Social Sciences, and is brought out by its Publications Unit. Published every January, April, July and October, the TISS entered its 77th year of uninterrupted publishing, a record in journal publishing, in 2016. The first issue of the IJSW was brought out in June 1940. It focussed on two aspects of Child Welfare - Children in Industry and Juvenile Delinquency. The main objectives of the IJSW are to: cater to the need for literature on social work, and be a medium of dissemination of indigenous work being carried out in the country. Over the years, the IJSW has kept pace with changing perspectives and developments in the field of social work and social work education. The IJSW has brought out over 50 Special/Focus issues since 1940.