Amniotomi
Amniotomi, or amniotomy, is the deliberate rupture of the amniotic membranes performed by a clinician during labor. It is often used to induce labor or to augment spontaneous labor when contractions are inadequate. The procedure may also enable internal fetal monitoring or the use of an internal uterine pressure catheter.
Indications include induction of labor when the cervix is favorable, augmentation of labor to accelerate progress,
Technique and timing involve sterile preparation and monitoring of the fetus. An amniotomy hook or a fingertip
Contraindications include placenta previa or vasa previa, active genital herpes infection, or conditions where rupture of
Risks and complications are primarily infection with prolonged rupture of membranes, typically increasing after 18–24 hours,
Outcomes: when appropriate, amniotomy can shorten labor and facilitate delivery or monitoring, but it requires careful