| Effect of amnioinfusion for meconium stained amniotic fluid on perinatal outcome. | |
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MedLine Citation:
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PMID: 15366799 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To see the effect of amnioinfusion on perinatal outcome in cases of meconium staining of liquor. METHODS: This study was conducted in department of Obstetrics and Gynaecology, unit 1, Jinnah Postgraduate Medical Centre, Karachi, from 1st January 1998 to 31st December 2000. Four hundred patients were included in this study, assigning 200 for amnioinfusion and 200 as control. All patients were matched in both the groups with respect to age, antenatal booking, parity, gestational age, stage of labour, colour of amniotic fluid and fetal birth weight. Both the groups were found to be comparable. RESULTS: The rate of Caesarean section was found to be 37% in amnioinfusion group, which collaborates with other international studies. The fetal outcome was better i.e. 91% alive and healthy, after amnioinfusion due to dilution of meconium stained amniotic fluid with physiological solutions. The perinatal outcome was recorded by Apgar score at 5 minutes. The perinatal morbidity and mortality both were significantly lowered and was found to be 6% as compared to 14% in control, which was also noticed by less number of admissions in nursery i.e. 12% and perinatal deaths. The incidence of meconium aspiration syndrome was found to be 56% in control and was reduced to 22% after amnioinfusion in the other arm of the study. CONCLUSION: These results are very encouraging and suggestion can be safely made that in future amnioinfusion will be the ideal method of preventing fetal distress due to meconium stained amniotic fluid. |
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Authors:
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F Ashfaq; A A Shah |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: JPMA. The Journal of the Pakistan Medical Association Volume: 54 ISSN: 0030-9982 ISO Abbreviation: J Pak Med Assoc Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-09-15 Completed Date: 2004-10-21 Revised Date: 2008-02-12 |
Medline Journal Info:
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Nlm Unique ID: 7501162 Medline TA: J Pak Med Assoc Country: Pakistan |
Other Details:
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Languages: eng Pagination: 322-5 Citation Subset: IM |
Affiliation:
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Sindh Government Qatar Hospital, Karachi. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amniotic Fluid / metabolism Apgar Score Birth Weight Case-Control Studies Cesarean Section Delivery, Obstetric / methods Female Fetus / metabolism Gestational Age Humans Infant, Newborn Infusions, Parenteral Meconium Aspiration Syndrome / prevention & control Oligohydramnios / therapy* Pregnancy Pregnancy Outcome* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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