Premium
Intrapartum Hysteroscopy
Author(s) -
MD Boris Petrikovsky
Publication year - 1986
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1986.tb01579.x
Subject(s) - medicine , hysteroscopy , umbilical cord , uterine cavity , obstetrics , amniotic fluid , meconium , caesarean section , fetus , vaginal delivery , placenta , endoscope , uterus , pregnancy , gynecology , surgery , anatomy , genetics , biology
EDITORIAL COMMENT: This technique warrants consideration /evaluation especially in the patient having a trial of vaginal delivery after a previous Caesarean section (Case 2). Summary: A new method of visualization of fetus, uterus, placenta, umbilical cord and amniotic fluid is presented. A flexible endoscope was inserted into the uterine cavity after spontaneous or artificial rupture of the membranes via the vaginal route in 85 patients. Endoscopy could be beneficial for precise determination of the nature and type of umbilical cord and placental pathology, signs of fetal dysmaturity, the presence of meconium and evaluation of the integrity of a uterine scar. Intrapartum hysteroscopy could be especially helpful for patients with no prenatal care who appear in labour with incomplete histories. The method is proven to be safe for both the mother and the neonate.