Transabdominal Amnioinfusion in Preterm Pregnancies Complicated by Fetal Growth Restriction, Oligohydramnios and Umbilical Cord Compression
| Autor: | Albert P. Sarno, Steven J. Feinstein, William Polzin, Arthur Maslow |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Embryology
medicine.medical_specialty Ringer's Lactate Amniotic fluid medicine.medical_treatment Umbilical cord compression Oligohydramnios Constriction Pathologic Umbilical cord Umbilical Cord Amnioinfusion Adrenal Cortex Hormones Pregnancy Prenatal Diagnosis medicine Humans Radiology Nuclear Medicine and imaging Amnion Amniotic fluid index Fetus Fetal Growth Retardation business.industry Obstetrics Obstetrics and Gynecology General Medicine medicine.disease Treatment Outcome medicine.anatomical_structure Pediatrics Perinatology and Child Health Female Isotonic Solutions business |
| Zdroj: | Fetal Diagnosis and Therapy. 10:408-414 |
| ISSN: | 1421-9964 1015-3837 |
| DOI: | 10.1159/000264266 |
| Popis: | Fetal growth restriction with oligohydramnios occurring in the preterm gestation is associated with significant fetal morbidity and mortality. We investigated the possibility that transabdominal amnioinfusion might relieve acute cord compression and allow prolongation of gestation long enough to administer corticosteroids. Four patients with fetal growth restriction, oligohydramnios and evidence of significant cord compression with otherwise reassuring fetal heart rate testing underwent transabdominal amnioinfusion. Pregnancy was prolonged 22, 38, 10 and 9 days, and cord compression was relieved in all cases. One patient showed findings consistent with reversal of chronic hypoxemia with stabilization of amniotic fluid index measurements in the normal range and normalization of fetal growth. Transabdominal amnioinfusion may be useful as an adjunctive technique to prolong pregnancy in preterm gestations with fetal growth restriction, oligohydramnios and evidence of umbilical cord compression. |
| Databáze: | OpenAIRE |
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