Amniotomy WHO

 Umělé protržení vaku blan - Amniotomie

Není doporučeným postupem  dle WHO

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Je pouze rutinním postupem zavedeným v mnoha nemocnicích.

Rutinní postupy nejsou potvrzeny vědeckým důkazem.

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toto je originál z dokmentu WHO, dole pod článkem je odkaz.

RECOMMENDATION 28 

The use of amniotomy alone for prevention of delay in labour is not recommended. (Not recommended) 

Remarks 

This recommendation has been integrated from the WHO recommendations for augmentation of labour (46), in which the GDG for that guideline determined it to be a conditional recommendation based on very low-quality evidence. 

 The GDG noted that in spite of the common use of amniotomy for prevention of labour delay in clinical practice, there is no clear evidence that the potential bene ts outweigh the potential harms.

 As early amniotomy may increase the risk of perinatal HIV transmission, this recommendation could be strengthened in settings where HIV infection is prevalent and women may present in labour with unknown HIV status.

 The evidence supporting this recommendation can be found in the source guideline document, available at: http://apps.who.int/iris/bitstream/10665/112825/1/9789241507363_eng.pdf