| What (not) to do before delivery? Prevention of fetal meconium release and its consequences. | |
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MedLine Citation:
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PMID: 19822401 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Meconium-stained amniotic fluid is a common occurrence which places the mother at risk of escalating obstetric interventions, and the baby at risk of meconium aspiration syndrome. METHODS: The Cochrane Library was searched for interventions related to care before delivery with useful evidence on the outcomes 'meconium-stained amniotic fluid' and 'meconium aspiration syndrome'. FINDINGS: Curtailment of post-term pregnancy reduces the occurrence of meconium-stained amniotic fluid, and meconium aspiration syndrome. Uterine stimulants, particularly misoprostol, are associated with occurrence of meconium-stained amniotic fluid. Amniotomy during labour may be a risk factor for meconium aspiration syndrome. There is little research evidence on the benefits or otherwise of obstetric interventions such as expedited delivery for meconium-stained liquor without other evidence of fetal distress. Amnioinfusion for meconium-stained amniotic fluid improves neonatal outcome only in settings with limited peripartum surveillance. There is insufficient evidence to support the use of amnioinfusion for meconium-stained liquor in settings with adequate peripartum surveillance. |
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Authors:
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G J Hofmeyr |
Publication Detail:
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Type: Journal Article; Review Date: 2009-10-12 |
Journal Detail:
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Title: Early human development Volume: 85 ISSN: 1872-6232 ISO Abbreviation: Early Hum. Dev. Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-26 Completed Date: 2010-02-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7708381 Medline TA: Early Hum Dev Country: Ireland |
Other Details:
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Languages: eng Pagination: 611-5 Citation Subset: IM |
Affiliation:
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Effective Care Research Unit, Eastern Cape Department of Health, University of the Witwatersrand, University of Fort Hare, South Africa. gjh@global.co.za |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Amnion
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surgery Delivery, Obstetric* Female Fetus / physiology* Humans Infant, Newborn Labor, Induced Meconium* Meconium Aspiration Syndrome / prevention & control* Pregnancy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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