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Previous Volume 329:886-887 September 16, 1993 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their recent paper on early amniotomy and the risk of dystocia in nulliparous women, Fraser et al. (April 22 issue)¹ concluded that early amniotomy was effective in shortening labor and reducing the frequency of dystocia but did not lower the rate of cesarean section. Early amniotomy is only one component of active management of labor². Unless early amniotomy is followed by early diagnosis of inefficient uterine action and treatment with appropriate doses of oxytocin, the cesarean-section rate may be unaffected.

In our hospital, amniotomy is performed when labor is diagnosed. We consider a rate of . . . [Full Text of this Article]

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