Comparison of studies regarding early or late amniotomy during induction of labor.
PPH, IOL, labor, prolonged labor
POSTPARTUM HEMORRHAGE, IOL, PROLONGED LABOR
*: Time to active phase of laborThe question arises whether EA has an impact on the CS rate compared to late amniotomy in cases of IOL. In their meta-analysis, Kim et al reported no significant difference in the rate of CS between early and late amniotomy groups (RR, 1.09; 95% CI, 0.80–1.49) [Induction of labor (IOL) has been associated with postpartum hemorrhage (PPH), primarily caused by oxytocin infusion and prolonged labor [In the context of labor induction, it is crucial to prioritize maternal and fetal safety over a shorter duration of labor. Our trial confirms the safety and effectiveness of early amniotomy compared to late amniotomy during IOL. Early amniotomy decreases the time to APL and VD, and reduces the cesarean delivery rate due to failed IOL, without increasing the overall cesarean delivery rate or causing any significant difference in maternal or fetal outcomes. The use of this procedure can reduce the mobilization time of medical staff assigned to monitor patients in the delivery room and better organize work in light of the increasing indications for labor induction. However, further studies are needed to evaluate patient satisfaction.