Medically Reviewed by Oluwatosin Goje, M. Medical Review Policy All What to Expect content that addresses health or safety is medically reviewed by a team of vetted health professionals. How and why your practitioner might decide to help your water break and give your labor a boost.
Back to Top. In This Article. Continue Reading Below. Read This Next. Having a C-Section Cesarean Section. Breastfeeding After a C-Section. View Sources. Pregnancy Groups. Vaginal Birth. Jump to Your Week of Pregnancy. In other words, the woman should not be asked for consent immediately before, or during a vaginal examination RCM This has led to many midwives suggesting that as long as it is clinically safe, other benign methods of stimulating a slow labour, such as positional changes and movement, should be tried first to avert the need for more intensive procedures.
This site complies with the HONcode standard for trustworthy health information: Verify here. Log In Join Ausmed. Start my Subscription. Log In. Sign Up. Online CPD Articles. Artificial Rupture of the Membranes in Labour. Document 4m of CPD. The Argument Against ARM In contrast to previous studies, Storgaard and Uldbjerg found that ARM made no difference to the duration of the first stage of labour when evaluated in five randomised, controlled studies.
As well as increased maternal pain, Romm notes the following important risk factors associated with early rupture of the membranes: Intrauterine infection; Umbilical cord prolapse; and Disruption of an occult placenta previa or vasa previa with subsequent maternal haemorrhage.
Making a Change to Custom and Tradition Overcoming the pull of custom and tradition can be a challenge when it comes to changing established practices. Anne Watkins See Educator Profile. The health professionals there will test the drainage to see if it is amniotic fluid. Amniotic fluid is normally a cloudy-white to an amber-straw color. Let your health professional know if the leaking fluid:.
To start induce or speed up labor, the doctor may rupture your membranes. This should only be done after your cervix has started to open dilate and the baby's head is firmly descended engaged in your pelvis.
If the membranes are ruptured too early, the umbilical cord could slip down around or below the baby's head. This is called a cord prolapse. If the cord gets squeezed between the baby's head and the pelvis bones, the blood supply to the baby may be decreased or stopped.
To rupture your amniotic sac, your doctor inserts a sterile plastic hook into your vagina. It may look like a long crochet hook, or it may be a smaller hook attached to the finger of a sterile glove.
The hook is used to pull gently on the amniotic sac until the sac breaks. This is usually not painful. You may feel a large gush of fluid. So you may still feel some leaking, especially right after a hard contraction. Author: Healthwise Staff. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information.
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