Thread: Artificial Rupture of Membranes Debate and Discussion
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Old 03-May-2008, 22:46
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Default Re: Artificial Rupture of Membranes
As this debate is within an educational section, it would be good if you would provide the references for your information, so that we can benefit from reading them.
KS x

Originally Posted by wannabe View Post
Disadvantages of ARM:

High chance that oxytocin will follow (if progress not adequate within 2 hours, which it rarely is if done as soon as woman is ARMable, rather than when VERY favourable). If oxytocin then drip & CTG tethering (reduced mobility), more pain -> epidural likely, if epidural then further tethering with IV fluids (to avoid hypotension) and BP cuff, even if 'mobile epidural' used.

Risk of infection, and time limits introduced to prevent this.

Risk of cord prolapse if pp not engaged.

If slow progress due to position rather than strength of uterine contractions, then ARM may exacerbate the problem rather than solve it.
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