Vazani Yasaman, Feyzabadi Zohre, Ghorbani Fariba, Daneshfard Babak
Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Mashhad University of Medical Sciences, Mashhad, Iran.
J Obstet Gynaecol Res. 2021 Mar;47(3):1064-1067. doi: 10.1111/jog.14638. Epub 2021 Jan 5.
Artificial rupture of the amniotic membranes during the labor, which is called amniotomy, is a common procedure in modern obstetric and midwifery protocols. There is no definite agreement regarding the timing of amniotomy in a delayed labor. In this study, we have discussed the history of amniotomy in medieval Persia mentioning the Persian medicine recommendations in this regard.
We studied main Persian medicine textbooks such as Canon of Medicine by Avicenna to investigate the history of labor management and amniotomy indications. In addition, amniotomy in current literature was studied using PubMed and Google Scholar databases.
Persian medicine has recommended artificial rupture of membranes for labor augmentation based on its own theories. Methods for facilitation of the labor have been divided into two groups: one group before and the other during the labor. Avicenna has carefully explained the indication of amniotomy. He has recommended artificial rupture of membranes in cases of intact membranes with cervical dilatation and fetal descent. A needle or a kind of surgical knife called Mabzaa had been introduced for this procedure.
It seems that Iranian physicians are the first scholars who have introduced the amniotomy for labor management in the 11th century. Persian medicine recommendations for labor facilitation should be considered in future studies.
分娩期间人工破膜，即羊膜穿刺术，是现代产科和助产规程中的常见操作。对于产程延长时羊膜穿刺术的时机，尚无明确共识。在本研究中，我们探讨了中世纪波斯羊膜穿刺术的历史，并提及了波斯医学在这方面的建议。
我们研究了主要的波斯医学教科书，如阿维森纳的《医典》，以调查分娩管理和羊膜穿刺术指征的历史。此外，使用PubMed和谷歌学术数据库研究了当前文献中的羊膜穿刺术。
波斯医学基于其自身理论推荐人工破膜以加强宫缩。促进分娩的方法分为两组：一组在分娩前，另一组在分娩期间。阿维森纳仔细解释了羊膜穿刺术的指征。他建议在胎膜完整、宫颈扩张且胎儿下降的情况下进行人工破膜。为此引入了一种针或一种名为Mabzaa的手术刀。
伊朗医生似乎是在11世纪首次引入羊膜穿刺术用于分娩管理的学者。未来的研究应考虑波斯医学关于促进分娩的建议。
