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Updated: May 10, 2026

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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Amniotomy for shortening spontaneous labour.

Rebecca M D Smyth1, Carolyn Markham, Therese Dowswell

  • 1School of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK. rebecca.smyth@manchester.ac.uk

The Cochrane Database of Systematic Reviews
|June 20, 2013
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Summary
This summary is machine-generated.

Amniotomy, or breaking waters, does not significantly shorten labor or improve outcomes. This procedure is not recommended for routine use in childbirth. Discuss evidence with your caregiver for informed decisions.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Evidence-Based Midwifery Practice

Background:

  • Amniotomy (artificial rupture of membranes) is a common obstetric procedure.
  • Its primary goal is to expedite labor contractions and shorten labor duration.
  • Concerns exist regarding potential adverse effects on mother and infant.

Purpose of the Study:

  • To evaluate the effectiveness and safety of amniotomy alone for routine labor shortening.
  • To assess amniotomy's impact on spontaneous labors.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) from the Cochrane Pregnancy and Childbirth Group's Trials Register.
  • Included 15 RCTs involving 5583 women, comparing amniotomy alone versus membrane preservation.
  • Data extracted and analyzed using intention-to-treat principles.

Main Results:

  • Amniotomy showed no significant difference in labor duration, cesarean section rates, maternal satisfaction, or Apgar scores.
  • Results were inconsistent across trials regarding the optimal timing of amniotomy.
  • No clear benefits were observed for amniotomy in spontaneous or prolonged labors.

Conclusions:

  • Routine introduction of amniotomy in standard labor management is not recommended based on current evidence.
  • Findings should inform discussions between women and healthcare providers regarding amniotomy.
  • Evidence supports shared decision-making for amniotomy during childbirth.