Artificial Rupture of Membranes (AROM)

Excerpt from The Birth Book written by William Sears, M.D. and Martha Sears, R.N.

Mothers, hold on to your bag of waters.  It is there for a reason.  Before you let anyone tamper with your membranes understand the benefits and risks of this procedure.  Your doctor may advise AROM (also called amniotomy) to induce an overdue labor, to jump-start a stalled labor (although not all obstetricians agree that this does any good, considering the risks), or to insert internal fetal-monitor tubing and electrodes.  But there are risks to this premature break.  The bag of waters protects the baby from infection and makes labor more comfortable for the mother.  The amniotic sac allows the forces of contractions to be more evenly distributed during stretching of the lower uterus and cervix – better than a hard head pushing against these tissues.  Besides increasing the risk of infection, AROM, if performed when baby’s head is not yet engaged, may result in prolapse of the umbilical cord and serious fetal distress.  If your birth attendant recommends AROM, discuss the risks and benefits, and participate in the decision.

And, with that post, I can take another book off of my desk!  : )

~ by cmb0414 on August 3, 2010.

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