Pre-labour Rupture of Membranes: impatience and risk

NCT Kent Doulas:

Really interesting post about the evidence behind current hospital policy to augment a woman’s labour if her water’s break prior to labour starting.

Originally posted on MidwifeThinking:

Edited and updated: July 2014

Amniotic sac and fluid play an important role in the labour process and usually remain intact until the end of labour. However, around 10% of women will experience their waters breaking before labour begins. The standard approach to this situation is to induce labour by using prostaglandins and/or syntocinon (aka pitocin) to stimulate contractions. The term ‘augmentation’ is often used instead of ‘induction’ for this procedure. Women who choose to wait are often told their baby is at increased risk of infection and they are encouraged to have IV antibiotics during labour. In my experience most women agree to have their labour induced rather than wait. I wonder how many of these women would choose a different path if they knew there was no significant increase in the risk of infection for their baby?

The rush to start labour and get the baby out after the waters have broken is fairly new…

View original 1,557 more words

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