Artificial rupture of amniotic membranes (ARM) is a typical procedure carried out in obstetric practice during labour. The decision whether and when to rupture the membranes in uncomplicated labour is a longstanding obstetric controversy. The present study was aimed to find out whether labour management is beneficial with early amniotomy or without amniotomy. The comparative study was conducted among 75 women into ARM group and 75 women into Spontaneous rupture group. Comparison between the two groups is done in terms of duration of labor, rate of caesarean delivery and its effect on maternal and neonatal outcome. Majority of the patients age ranged from 25‐30 years. Amniotomy results in shortening the duration of I stage labor by 46 minutes. In the present study 77.3% of ARM group had vaginal delivery and 82.6% of SRM group had vaginal delivery. In this study 22.7% in the ARM group delivered by caesarean section and 17.3% of SRM group delivered by LSCS. This shows a slightly higher risk of LSCS in amniotomy group which is statistically not significant. Amniotomy has various benefits, including shortening duration of labor and the ability to decide the mode of delivery based on the colour of liquor which gives an idea about the fetal well being. As a result, the practise of amniotomy appears to be justified in a growing nation like ours.
Reena Judy D'Souza and S. Ranjini. Comparative Study Between Artificial Rupture of Membrane (ARM) Versus Spontaneous Rupture of Membrane in Progression of Labor at Term.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.283.287
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.283.287