Level of Evidence = D
There is insufficient evidence from controlled trials of the effectiveness of amniotomy alone for induction of labour.
A Cochrane review 1 included 2 studies with a total of 310 subjects. No conclusions could be drawn from comparisons of amniotomy alone versus no intervention, or amniotomy alone versus oxytocin alone. One trial compared amniotomy alone with a single dose of vaginal prostaglandins for women with a favourable cervix, and found a significant increase in he need for oxytocin augmentation in the amniotomy alone group (44% versus 15%, RR 2.85, 95% CI 1.82 to 4.46).
1. Bricker L, Luckas M. Amniotomy alone for induction of labour. Cochrane Database Syst Rev 2000;(4):CD002862 [Review content assessed as up-to-date: 31 January 2007]. [PMID:11034776]
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"Amniotomy Alone for Induction of Labour." Evidence-Based Medicine Guidelines, Duodecim Medical Publications Limited, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/EBMG/454363/all/Amniotomy_alone_for_induction_of_labour.
Amniotomy alone for induction of labour. Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. https://evidence.unboundmedicine.com/evidence/view/EBMG/454363/all/Amniotomy_alone_for_induction_of_labour. Accessed March 23, 2019.
Amniotomy alone for induction of labour. (2019). In Evidence-Based Medicine Guidelines. Available from https://evidence.unboundmedicine.com/evidence/view/EBMG/454363/all/Amniotomy_alone_for_induction_of_labour
Amniotomy Alone for Induction of Labour [Internet]. In: Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. [cited 2019 March 23]. Available from: https://evidence.unboundmedicine.com/evidence/view/EBMG/454363/all/Amniotomy_alone_for_induction_of_labour.
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PB - Duodecim Medical Publications Limited
DB - Evidence Central
DP - Unbound Medicine