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Early Amniotomy Shortens Labor in Nulliparas

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From the Annual Meeting of the Society For Maternal-Fetal Medicine

When asked if the study was mixing cervical ripening with labor induction, Dr. Macones said, “I think the lines between ripening and induction are actually quite gray.” He contended that the study's aim was to assess the impact of amniotomy when the intention was to perform it as early as possible.

An alternative approach would be to look at women once their cervix is ripened and then ask what the role of amniotomy is, he acknowledged. “But I think that's a little bit different question than we actually had.”

Dr. Macones did not report any relevant financial disclosures.

'This difference in length of labor occurred mainly and not surprisingly in the first stage of labor.'

Source DR. MACONES