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Prophylactic Amnioinfusion During Labour Complicated by Meconium
Author(s) -
MD Anju Huria Khosla,
MD Krishna Sangwan,
MBBS Shanti Devi Ahuja
Publication year - 1997
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.1997.tb02412.x
Subject(s) - amnioinfusion , medicine , meconium , obstetrics , caesarean section , amniotic fluid , fetal distress , forceps , gestational age , cephalic presentation , fetus , anesthesia , pregnancy , surgery , genetics , biology
EDITORIAL COMMENT: This study of amnioinfusion during labour complicated by the known passage of meconium shows that the technique seems clinically worthwhile, even in a centre without facilities for electronic fetal heart monitoring or scalp blood pH and blood gas analysis. The series is small and more data from larger studies is required to test the conclusions reported by the authors. Summary: A prospective study to see the safety and efficacy of transcervical amnioinfusion in labour complicated by meconium‐stained amniotic fluid (MSAF) was carried out in a teaching hospital with limited resources. Fifty patients in labour with meconium‐stained amniotic fluid and fulfilling the inclusion criteria (vertex presentation, gestational age of 36 weeks or more, no medical or obstetrical complications and normal fetal heart rate at time of inclusion) were taken for the study; 25 patients received amnioinfusion. The control group received only supportive therapy. Labour outcome was compared in the 2 groups. The incidence of Caesarean section was seen to be decreased but neonatal parameters showed no significant difference in the amnioinfusion group.