The most frequent reasons for amniotomy

The most common reason for opening the membranes is the weakness of labor. In doing so, labor pains with the passage of time does not increase, but weaker. Disclosure of the cervix is slowed down and delayed deliveries. The weakness of labor can be identified in the study of the nature of labor according to the observation monitor, as well as the results of the inspection - the lack of disclosure of the cervix over a period of time.

Treatment based on the identified causes. Give mothers a rest, injected anesthetics, sedatives. If the bag of waters is intact, then amniotomy is the main method of activation of labor, followed by 2 hours a doctor spends observation. With little effect starting intravenous drugs, which increase the contractile activity of the uterus (oxytocin, enzaprost).

Also, quite often in labor amniotomy is an indication for flat membranes. Normally, about 200 ml of amniotic fluid is in front of the head, and a fetal bladder puts pressure on the cervix during labor, contributing to its disclosure. But sometimes, only 5 - 10 ml of amniotic fluid found in front of the head. This is most often the case with water shortages. The shell membranes is stretched over his head that leads to weakness and discoordination of labor activity.  In this case, you need to make an amniotomy for the normalization of labor.

More than a rare indication for amniotomy during labor is the low location of the placenta. At the same time the head of the fetus, which fell after the outpouring of water, presses the edge of the placenta. Thus, the head prevents premature detachment of the placenta.