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Prophylactic transcervical amnioinfusion in laboring women with oligohydramnios
Author(s) -
Amin A.F.,
Mohammed M.S.,
Sayed G.H.,
AbdelRazik S.
Publication year - 2003
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(03)00041-9
Subject(s) - amnioinfusion , medicine , oligohydramnios , obstetrics , gynecology , pregnancy , fetus , biology , genetics
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.