| Amnioinfusion for umbilical cord compression in labour. | |
| | |
MedLine Citation:
|
PMID: 10796084 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Amnioinfusion aims to prevent or relieve umbilical cord compression during labour by infusing a solution into the uterine cavity. OBJECTIVES: The objective of this review was to assess the effects of amnioinfusion on maternal and perinatal outcome for potential or suspected umbilical cord compression or potential amnionitis. SEARCH STRATEGY: The Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register were searched. SELECTION CRITERIA: Randomised trials of amnioinfusion compared with no amnioinfusion in women with babies at risk of umbilical cord compression; and women at risk of intrauterine infection. DATA COLLECTION AND ANALYSIS: Eligibility and trial quality were assessed by the reviewer. MAIN RESULTS: Twelve studies were included. Transcervical amnioinfusion for potential or suspected umbilical cord compression was associated with the following reductions: fetal heart rate decelerations (relative risk 0.54, 95% confidence interval 0.43 to 0.68); caesarean section for suspected fetal distress (relative risk 0.35, 95% confidence interval 0.24 to 0.52); neonatal hospital stay greater than 3 days (relative risk 0.40, 95% confidence interval 0. 26 to 0.62); maternal hospital stay greater than 3 days (relative risk 0.46, 95% 0.29 to 0.74). Transabdominal amnioinfusion showed similar results. Transcervical amnioinfusion to prevent infection in women with membranes ruptured for more than 6 hours was associated with a reduction in puerperal infection (relative risk 0.50, 95% confidence interval 0.26 to 0.97). REVIEWER'S CONCLUSIONS: Amnioinfusion appears to reduce the occurrence of variable heart rate decelerations and lower the use of caesarean section. However the studies were done in settings where fetal distress was not confirmed by fetal blood sampling. The results may therefore only be relevant where caesarean sections are commonly done for abnormal fetal heart rate alone. The trials reviewed are too small to address the possibility of rare but serious maternal adverse effects of amnioinfusion. |
| | |
Authors:
|
G J Hofmeyr |
Related Documents
:
|
23248094 - Role of n-terminal pro b-type natriuretic peptide in identifying patients at high risk ... 19499514 - High prevalence of defects in cesarean section scars at transvaginal ultrasound examina... 1521374 - Labor after prior cesarean section. 9355274 - College students' knowledge and attitudes about cesarean birth. 1468704 - Correlation in ages at death from familial ovarian cancer among sisters. 23248094 - Role of n-terminal pro b-type natriuretic peptide in identifying patients at high risk ... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Cochrane database of systematic reviews (Online) Volume: - ISSN: 1469-493X ISO Abbreviation: Cochrane Database Syst Rev Publication Date: 2000 |
Date Detail:
|
Created Date: 2000-07-06 Completed Date: 2000-07-06 Revised Date: 2012-02-14 |
Medline Journal Info:
|
Nlm Unique ID: 100909747 Medline TA: Cochrane Database Syst Rev Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: CD000013 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynaecology, Coronation Hospital and University of the Witwatersrand, 7 York Road, Parktown 2193, Johannesburg, South Africa. 091just@chiron.wits.ac.za |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Amnion* Chorioamnionitis / prevention & control* Female Humans Injections* Obstetric Labor Complications / prevention & control* Pregnancy Umbilical Cord |
| Comments/Corrections | |
Update In:
|
Cochrane Database Syst Rev. 2012;1:CD000013
[PMID:
22258939
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Active versus expectant management in the third stage of labour.
Next Document: Amniotomy for shortening spontaneous labour.