Livinus N Onah, Cyril C Dim, Uchenna I Nwagha, Benjamin C Ozumba
{"title":"早期羊膜切开术对自然分娩结果的影响：对尼日利亚东南部埃努古孕妇的随机对照试验。","authors":"Livinus N Onah, Cyril C Dim, Uchenna I Nwagha, Benjamin C Ozumba","doi":"10.4314/ahs.v15i4.7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Early amniotomy is common in obstetric practice but, its effectiveness has not been proven.</p><p><strong>Objectives: </strong>To determine the effects of early amniotomy on the duration of labour, and other maternal / neonatal outcomes of uncomplicated pregnancies in Enugu, South-east Nigeria.</p><p><strong>Methods: </strong>A randomized controlled study of 214 consenting term pregnant women at the University of Nigeria Teaching Hospital Enugu, Nigeria. Intervention group received amniotomy early in active labour while the control group had their membranes conserved.</p><p><strong>Results: </strong>Mean duration of labour for the amniotomy group (279.4 ± 53.7 minutes) was significantly lower than that of control group (354.4 ± 67.5 minutes), (t = -8.988, p <0.001). Three (3.8%) women in amniotomy group needed oxytocin augmentation as against 21 (19.6%) women in the control group RR = 0.14, (CI 95%: 0.04 - 0.46), NNT = 16. The two groups did not vary with respect to cesarean section rate, newborn Apgar scores, and need for new born special care unit admission.</p><p><strong>Conclusion: </strong>Early amniotomy when compared to fetal membrane conservation reduced the duration of labour and need for oxytocin augmentation among term singleton pregnant women in Enugu, Nigeria. Its routine use in well selected cases may reduce prolonged labour and its complications.</p>","PeriodicalId":35584,"journal":{"name":"Indian Journal of Social Work","volume":"81 1","pages":"1097-103"},"PeriodicalIF":0.0000,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765421/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of early amniotomy on the outcome of spontaneous labour: a randomized controlled trial of pregnant women in Enugu, South-east Nigeria.\",\"authors\":\"Livinus N Onah, Cyril C Dim, Uchenna I Nwagha, Benjamin C Ozumba\",\"doi\":\"10.4314/ahs.v15i4.7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Early amniotomy is common in obstetric practice but, its effectiveness has not been proven.</p><p><strong>Objectives: </strong>To determine the effects of early amniotomy on the duration of labour, and other maternal / neonatal outcomes of uncomplicated pregnancies in Enugu, South-east Nigeria.</p><p><strong>Methods: </strong>A randomized controlled study of 214 consenting term pregnant women at the University of Nigeria Teaching Hospital Enugu, Nigeria. Intervention group received amniotomy early in active labour while the control group had their membranes conserved.</p><p><strong>Results: </strong>Mean duration of labour for the amniotomy group (279.4 ± 53.7 minutes) was significantly lower than that of control group (354.4 ± 67.5 minutes), (t = -8.988, p <0.001). Three (3.8%) women in amniotomy group needed oxytocin augmentation as against 21 (19.6%) women in the control group RR = 0.14, (CI 95%: 0.04 - 0.46), NNT = 16. The two groups did not vary with respect to cesarean section rate, newborn Apgar scores, and need for new born special care unit admission.</p><p><strong>Conclusion: </strong>Early amniotomy when compared to fetal membrane conservation reduced the duration of labour and need for oxytocin augmentation among term singleton pregnant women in Enugu, Nigeria. Its routine use in well selected cases may reduce prolonged labour and its complications.</p>\",\"PeriodicalId\":35584,\"journal\":{\"name\":\"Indian Journal of Social Work\",\"volume\":\"81 1\",\"pages\":\"1097-103\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765421/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Social Work\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4314/ahs.v15i4.7\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Social Sciences\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Social Work","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4314/ahs.v15i4.7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Social Sciences","Score":null,"Total":0}
Effect of early amniotomy on the outcome of spontaneous labour: a randomized controlled trial of pregnant women in Enugu, South-east Nigeria.
Background: Early amniotomy is common in obstetric practice but, its effectiveness has not been proven.
Objectives: To determine the effects of early amniotomy on the duration of labour, and other maternal / neonatal outcomes of uncomplicated pregnancies in Enugu, South-east Nigeria.
Methods: A randomized controlled study of 214 consenting term pregnant women at the University of Nigeria Teaching Hospital Enugu, Nigeria. Intervention group received amniotomy early in active labour while the control group had their membranes conserved.
Results: Mean duration of labour for the amniotomy group (279.4 ± 53.7 minutes) was significantly lower than that of control group (354.4 ± 67.5 minutes), (t = -8.988, p <0.001). Three (3.8%) women in amniotomy group needed oxytocin augmentation as against 21 (19.6%) women in the control group RR = 0.14, (CI 95%: 0.04 - 0.46), NNT = 16. The two groups did not vary with respect to cesarean section rate, newborn Apgar scores, and need for new born special care unit admission.
Conclusion: Early amniotomy when compared to fetal membrane conservation reduced the duration of labour and need for oxytocin augmentation among term singleton pregnant women in Enugu, Nigeria. Its routine use in well selected cases may reduce prolonged labour and its complications.
期刊介绍：
The Indian Journal of Social Work (IJSW) is the flagship publication of the Tata Institute of Social Sciences, and is brought out by its Publications Unit. Published every January, April, July and October, the TISS entered its 77th year of uninterrupted publishing, a record in journal publishing, in 2016. The first issue of the IJSW was brought out in June 1940. It focussed on two aspects of Child Welfare - Children in Industry and Juvenile Delinquency. The main objectives of the IJSW are to: cater to the need for literature on social work, and be a medium of dissemination of indigenous work being carried out in the country. Over the years, the IJSW has kept pace with changing perspectives and developments in the field of social work and social work education. The IJSW has brought out over 50 Special/Focus issues since 1940.
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