Transcervical intrapartum amnioinfusion for preterm premature rupture of the membranes
| Autor: | Isabel Pérez, Francisco Montoya, María S. López, José M. Cañizares, José A. Miranda, Pilar Tirado, Alberto Puertas |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Fetal Membranes Premature Rupture medicine.medical_treatment Pregnancy Trimester Third law.invention Amnioinfusion Fetus Obstetric Labor Premature Randomized controlled trial law Pregnancy Heart rate Medicine Humans Infusions Parenteral Amnion Acid-Base Equilibrium business.industry Obstetrics Pregnancy Outcome Obstetrics and Gynecology Heart Rate Fetal medicine.disease Amniotic Fluid Clinical trial Catheter Reproductive Medicine Pregnancy Trimester Second Gestation Female business |
| Zdroj: | European journal of obstetrics, gynecology, and reproductive biology. 131(1) |
| ISSN: | 0301-2115 |
| Popis: | To investigate the effect of transcervical amnioinfusion on the management of labour and neonatal outcomes in preterm premature rupture of the membranes.This clinical trial included 86 patients with premature rupture of the membranes between weeks 27 and 35 of gestation. Patients were randomly assigned to receive amnioinfusion via a two-way catheter or to the control group. Clinical management was otherwise the same in both groups.Amnioinfusion decreased the frequency of variable decelerations in fetal heart rate (27.9% versus 53.5%, p0.05) and the rate of obstetric interventions motivated by nonreassuring fetal status (13.6% versus 52.4%, p0.05). At delivery, pH values were significantly higher in the treatment group than in the conventionally managed control group (median 7.29 versus 7.27).Intrapartum transcervical amnioinfusion for preterm premature rupture of the membranes reduced the number of interventions needed because of nonreassuring fetal status, and improved neonatal gasometric values without increasing maternal or fetal morbidity. |
| Databáze: | OpenAIRE |
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