II. Indications
- Labor Induction (adjunctive measure)
III. Technique
- Continuous Fetal Monitoring during procedure
- Start with sterile cervical exam
- Confirm vertex presentation
- Confirm fetal head well applied to Cervix
- Rupture Membranes
- Option 1
- Insert amniohook, guided with fingers into Cervix, with hook initially toward hand
- Identify amniotic fluid pocket and rotate the amniohook against the pocket to rupture membranes
- Option 2
- Apply fetal scalp electrode
- Option 1
- Examining fingers remain at Cervix after rupturing membranes
- Confirm cord is not present as the fetal head applies more firmly to the Cervix
- Observe color of ruptured membranes