Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

Local Anesthetics: Clinical Application as Spinal Anesthesia

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Medical treatment for early fetal death (less than 24 weeks).

The Cochrane database of systematic reviews·2019

Same author

Empirical comparison of univariate and multivariate meta-analyses in Cochrane Pregnancy and Childbirth reviews with multiple binary outcomes.

Research synthesis methods·2019

Same author

First trimester ultrasound tests alone or in combination with first trimester serum tests for Down's syndrome screening.

The Cochrane database of systematic reviews·2017

Same author

First and second trimester serum tests with and without first trimester ultrasound tests for Down's syndrome screening.

The Cochrane database of systematic reviews·2017

Same author

Medical treatments for incomplete miscarriage.

The Cochrane database of systematic reviews·2017

Same author

Increasing support for the next generation of clinical trials leaders.

Pilot and feasibility studies·2016

Search research articles

Related Experiment Video

Updated: Jul 8, 2026

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

Amniotomy for shortening spontaneous labour.

James P Neilson¹

¹School of Reproductive and Developmental Medicine, University of Liverpool, UK. jneilson@liverpool.ac.uk

Obstetrics and Gynecology

|January 1, 2008

Summary

Artificial rupture of the membranes (amniotomy) does not significantly shorten labor or improve maternal satisfaction. This common obstetric procedure showed no clear benefits and a potential increased risk of cesarean delivery.

More Related Videos

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats

Published on: November 20, 2015

Related Experiment Videos

Last Updated: Jul 8, 2026

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats

Published on: November 20, 2015

Area of Science:

Obstetrics and Gynecology
Evidence-Based Medicine
Clinical Trials

Background:

Amniotomy, or "breaking of the waters," is a frequent obstetric procedure aimed at accelerating labor.
Concerns exist regarding potential adverse effects on both mother and infant.
This review evaluates the effectiveness and safety of amniotomy alone in spontaneous and prolonged labors.

Discussion:

The review included 14 randomized controlled trials with 4,893 participants.
Data analysis focused on labor duration, maternal satisfaction, and infant Apgar scores.
Cesarean delivery risk was assessed, though not found to be statistically significant.

Key Insights:

Amniotomy did not demonstrate a statistically significant difference in shortening the first stage of labor.
No significant improvements were observed in maternal satisfaction or low Apgar scores.
A trend towards an increased risk of cesarean delivery was noted with amniotomy.

Outlook:

Current evidence does not support routine amniotomy in standard labor management.
Findings should inform discussions between caregivers and women considering amniotomy.
Further research may clarify optimal timing and indications for amniotomy.