Document Detail


Prophylactic transcervical amnioinfusion in laboring women with oligohydramnios.
MedLine Citation:
PMID:  12706276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Evaluation of prophylactic intrapartum amnioinfusion in women with oligohydramnios. METHODS: Assiut University Hospital during the period from February 2000 to September 2001, 160 laboring women with oligohydramnios [amniotic fluid index (AFI) </=5 cm] were randomized into: amnioinfusion and control groups. Inclusion criteria were: term singleton gestation, vertex presentation, cervical dilatation <4 cm, and assuring fetal heart rate (FHR). Trans-cervical amnioinfusion was done with warmed normal saline. RESULTS: there was a significant increase in AFI after amnioinfusion (P<0.001). The amnioinfusion group showed lower cesarean section rate for fetal distress (P=0.003), lower incidence of abnormal FHR (P=0.006), fewer neonates with Apgar score <7 at 1 min (P<0.001), and 5 min (P=0.009), meconium below vocal cords (P<0.001), umbilical arterial pH<7.1 (P=0.003), and significantly shorter hospital stay (P=0.02). CONCLUSION: Prophylactic trans-cervical amnioinfusion is a simple, safe and effective procedure.
Authors:
A F Amin; M S Mohammed; G H Sayed; S Abdel-Razik
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  81     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-04-22     Completed Date:  2003-10-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  183-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Assiut University Hospital, Assiut, Egypt. ahmedamen1@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section / statistics & numerical data
Female
Heart Rate, Fetal / drug effects
Humans
Infusions, Parenteral*
Labor, Obstetric*
Length of Stay / statistics & numerical data
Oligohydramnios / therapy*
Pregnancy
Pregnancy Outcome*
Sodium Chloride / therapeutic use*
Chemical
Reg. No./Substance:
7647-14-5/Sodium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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