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Birth in a caul: a discussion on the role of amniotomy in physiological labour

Abstract:

In my midwifery practice I observed that membranes often remained intact when women were immersed in water during labour. I wondered what would be the optimum care for water birth in a caul. This article reviews existing information about the reasons for amniotomy and management of intact membranes at birth. Recommendations for practice are offered.

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amniotomy, caul, intact membranes, waterbirth