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Ascending infections, especially those following the rupturing of membranes, have occupied the obstetricians for generations because of the increased risk to mother and infants. With the development of perinatal medicine during the last 15 years this risk has increased because of the introduction of intensive monitoring during labor. Several studies have shown that the colonization of the amniotic fluid increases rapidly within a few hours after the rupturing öf membranes [4,11,19]. The use of intensive monitoring techniques (cardiotocography, fetal bloodsampling, more internal examinations) adds to the introduction of organisms [8, 9, 12, 15]. This is demonstrated in Fig. l. While prophylactic use of antibiotics will decrease the immediate risk to mother and infant [17] this is not considered an appropriate solution because of the selection of resistant organisms [19]. Therefore, we have sought a new approach which would allow to combat the ascension of organisms without increasing hospital infections. With initiation of intrapartum monitoring we introduce together with the scalp electrode for fetal heart monitoring a thin plastic catheter attached to the electrode (Fig. 2) through which a suitable disinfectant solution is slowly pumped throughout the subsequent period of delivery. Thus the birth canal is being constantly rinsed with the solution from the presenting part to the vulva. We use äs the disinfectant an organic complex of polyvinylpyrrolidone with iodine (Trade Names: Betadine, Betaisodona).

A new method to decrease the risk of intrapartum infection