#3 Early AROM for Induction of Labor

Happy Hour with Bundle Birth Nurses

Early amniotomy for induction of labor (between 3-4 cm depending) has been a controversial discussion at the bedside and among L&D nurses. In this episode, Justine and Sarah discuss the current research and professional recommendations for early AROM as well as the risks altogether of AROM (in general) and early AROM. Does it really increase risk? As nurses, we frequently hear how frustrating this is in the current movement towards physiologic birth. What other evidence and information is lacking surrounding early artificial rupture of membranes? How could it affect the physiologic birth process?
As labor & delivery nurses, we need to know how to manage these conversations and clinical scenarios with providers, so let’s talk about it! They’ll share their opinions and discuss how to anticipate and prepare for working with providers and give you a script on how to educate a patient about amnioinfusion following an AROM. All that and more! Thanks for watching and subscribing!

References and articles discussed in this episode:

• Early amniotomy after cervical ripening for induction of labor: a systematic review and meta-analysis of randomized controlled trials
• Amniotomy for shortening spontaneous labour
• Early Versus Late Amniotomy in Nulliparous Women Undergoing Induction of Labor
• “Early Rupture of Membranes” during Induced Labor as a Risk Factor for Cesarean Delivery in Term Nulliparas
• UptoDate