Premium
Randomized controlled trial of the effect of amniotomy on the duration of spontaneous labor
Author(s) -
Vadivelu Malarvizhi,
Rathore Swati,
Benjamin Santosh J.,
Abraham Anuja,
Belavendra Antonisamy,
Mathews Jiji E.
Publication year - 2017
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12203
Subject(s) - medicine , interquartile range , randomized controlled trial , conservative management , duration (music) , singleton , obstetrics , surgery , pregnancy , art , literature , biology , genetics
Abstract Objective To investigate the effect of amniotomy on the duration of spontaneous labor. Methods In the present randomized controlled trial, women in spontaneous labor with singleton pregnancies presenting at a tertiary teaching hospital in South India between August 1, 2014, and October 31, 2015, were randomized in a 1:1 ratio to undergo amniotomy or conservative management. The primary outcome was the duration of labor. Per‐protocol analyses were performed and the duration of labor was compared between the groups of patients. Results There were 144 patients randomized to each group. The median duration of labor was 235 minutes (interquartile range 117–355) in the amniotomy group and 364 minutes (interquartile range 201–580) in the conservative management group ( P< 0.001). Conclusion Amniotomy was associated with a shorter duration of labor in comparison with conservative management in patients with singleton pregnancies experiencing spontaneous labor. Clinical Trials Registry‐India: (CTRI) (CTRI/2014/12/005264)