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Pregnancy outcome following amnioinfusion in oligohydroamnios
Author(s) -
Kim G. J.,
Kim S. Y.,
Son M. S.
Publication year - 2001
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2001.abs28-41.x
Subject(s) - amnioinfusion , medicine , amniotic fluid index , obstetrics , pregnancy , gestational age , chorioamnionitis , tocolytic agent , apgar score , fetus , anesthesia , premature rupture of membranes , amniotic fluid , preterm labor , genetics , biology
Objective: We sought to evaluate the fetal outcome following antepartum transabdominal amnioinfusion in oligohydroamanios except membrane rupture. Materials and methods: Twenty‐six transabdomial amnioinfusion were performed in 17 cases of singleton pregnancy with severe oligohydroamnios. We excluded premature membrane rupture cases. Transabdominal amnioinfusion was done with warmed lactate Ringer solution. Results: Infusion (mean volume 545 mL) of lactate Ringer's solution significantly increased the amniotic fluid index from 4 dm to 9.3 cm. Mean infusion time was 56.8 min The gestational weeks were prolonged significantly from 29.4 to 36.5 weeks. There was one case of fetal death. The mean birth weight was 2.6 kg and the mean Apgar score at 1, 5 min was 7.6 and 8.9. Uterine contractions after infusion were observed 3 in 21, no needle scratching marks detected at birth. No chorioamnionitis were observed. Conclusions: Our results show that antepartum transabdominal amnioinfusion is a relatively safe procedure, and it can significantly increase the amniotic fluid index and prolong the gesational age.