Early amniotomy after cervical ripening for induction of labor: a systematic review and meta-analysis of randomized controlled trials.

Objective Data: Timing of artificial rupture of membranes (ie, amniotomy) in induction of labor is controversial, because it has been associated not only with shorter labors, but also with fetal nonreassuring testing, at times necessitating cesarean delivery. The aim of this systematic review and metaanalysis of randomized trials was to evaluate the effectiveness of early amniotomy vs late amniotomy or spontaneous rupture of membranes after cervical ripening.

Study: The search was conducted with the use of electronic databases from inception of each database through February 2019.