Using your BRAIN: AROM
Artificial Rupture of Membranes, commonly referred to as AROM, is a medical procedure performed during birth. It involves intentionally breaking the amniotic sac. This procedure is carried out by a healthcare provider using a thin plastic hook called an amnihook.
The primary goal of AROM is to accelerate or facilitate the progress of labor. By breaking the amniotic sac, the amniotic fluid is released, which can lead to stronger and more regular contractions, aiding in the dilation of the cervix and the descent of the baby through the birth canal.
AROM may be recommended for various reasons, such as:
To induce or augment labor if it's progressing slowly.
To allow for internal monitoring of the fetus's heart rate using a fetal scalp electrode.
To facilitate procedures such as the insertion of an internal uterine pressure catheter.
While AROM can be beneficial in certain situations, it's essential to weigh the potential benefits against the risks, such as the increased risk of infection or umbilical cord prolapse. As with any medical intervention during childbirth, the decision to proceed with AROM should be made based on individual circumstances, in consultation with a healthcare provider, and after thorough discussion of the associated benefits, risks, and alternatives.
Various medical interventions may be proposed to facilitate labor progression or address specific concerns. One such intervention is the artificial rupture of membranes (AROM). As expectant parents, being informed and empowered to make decisions is crucial. Enter the BRAIN acronym – a tool to help navigate choices regarding medical procedures.
B - Benefits
What are the potential benefits of AROM?
Facilitated Labor Progression: Breaking the amniotic sac can sometimes expedite labor, especially if it's slightly prolonged.
Augmented Contractions: AROM can lead to stronger and more regular contractions, which might help in cases where contractions are not as effective as they should be.
R - Risks
What are the potential risks associated with AROM?
Infection: Once the protective barrier of the amniotic sac is breached, there's an increased risk of infection, albeit small.
Cord Prolapse: In rare instances, AROM can lead to the umbilical cord slipping through the cervix ahead of the baby, which can be dangerous.
Fetal Distress: While uncommon, there's a risk of changes in the baby's heart rate after AROM.
A - Alternatives
Are there alternatives to AROM?
Wait and See: Allowing labor to progress naturally without intervention is an option, especially if both mother and baby are doing well.
Natural Methods: Techniques such as walking, changing positions, or using a birthing ball can sometimes help stimulate contractions.
I - Intuition
What does your intuition tell you?
Birth is a deeply personal experience, and our intuition plays a significant role in decision-making. If something doesn't feel right or if you have concerns about AROM, trust your instincts. Discuss your feelings openly with your healthcare provider and explore alternative options if necessary.
N - Nothing
What if you choose to do nothing?
It's essential to recognize that choosing not to proceed with AROM is a valid option. Sometimes, the best course of action is to allow labor to continue naturally, especially if both mother and baby are stable and progressing well.
When considering AROM or any other medical intervention, take the time to discuss the benefits, risks, and alternatives with your healthcare provider. Remember, your voice matters, and together with your provider, you can make informed choices that align with your birth preferences and priorities.
