What complication can arise from the use of amniotomy?

Amniotomy, or artificial rupture of membranes, is a procedure often performed during labor to facilitate its progress. One of the notable complications that can arise from this intervention is cord prolapse. When the membranes are ruptured, there is a chance that the umbilical cord can shift position and become compressed between the presenting part of the fetus and the cervix. This compression can compromise blood flow and oxygen delivery to the fetus, leading to potential fetal distress.

The risk of cord prolapse is especially significant in situations where the fetus is not engaged in the pelvic cavity, as the sudden release of amniotic fluid can allow the cord to slip below the presenting part. Cord prolapse is a critical situation that requires immediate medical attention, often necessitating a change in the management of labor or even an emergency cesarean section if fetal distress is detected.

Other complications associated with amniotomy, while also important to be aware of, do not directly relate to the immediate risks during the procedure in the same way that cord prolapse does. Understanding the implications of amniotomy and the potential risks, such as cord prolapse, is essential for effective obstetric management during labor.