For an amniotomy during active labor, which item should be available at the bedside to perform the procedure safely?

• A. Doppler
• B. Amniotic hook
• C. Sterile gloves
• D. Lubricant

Answer: (C)

Maintaining aseptic technique is essential when performing amniotomy during active labor to protect both mother and baby from infection. Sterile gloves create a sterile barrier between the clinician’s hands and the vaginal membranes, amniotic fluid, and fetal membranes, reducing the risk of introducing bacteria that could cause chorioamnionitis or neonatal infection. While tools like an amniotomy hook might be used and fetal heart rate monitoring may accompany the procedure, this step hinges on keeping everything sterile, which sterile gloves ensure. Lubricant isn’t required for the procedure and could compromise sterility if nonsterile. Ensure sterility is maintained throughout the manipulation of the membranes and continue fetal monitoring as the procedure proceeds.