Prophylactic intrapartum amnioinfusion: A randomized clinical trial
| Autor: | T. H. Strong, Richard H. Paul, Albert P. Sarno, Gretchen Hetzler |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Bradycardia medicine.medical_specialty Adolescent medicine.medical_treatment Oligohydramnios Fetal Distress Amnioinfusion Meconium Pregnancy Fetal distress Humans Medicine Infusions Parenteral Amnion Amniotic fluid index Randomized Controlled Trials as Topic business.industry Obstetrics Obstetrics and Gynecology Gestational age General Medicine Heart Rate Fetal Amniotic Fluid medicine.disease Obstetric Labor Complications Anesthesia Arterial blood Female medicine.symptom Labor Stage First business |
| Zdroj: | American Journal of Obstetrics and Gynecology. 162:1370-1375 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/0002-9378(90)90894-d |
| Popis: | Amnioinfusion was performed in a prospective, randomized trial of 60 women in the latent phase of labor with oligohydramnios, as defined by an amniotic fluid index less than or equal to 5.0 cm. All fetuses were at least 37 weeks' gestational age, had normal baseline fetal heart rate variability, and no clinically significant fetal heart rate decelerations at the outset. Subjects in the amnioinfusion group (n = 30) were titrated to and maintained at an amniotic fluid index level greater than or equal to 8.0 cm throughout labor. In the group receiving amnioinfusion, significantly lower rates of meconium passage (p = 0.04), severe variable decelerations (p = 0.04), end-stage bradycardia (p = 0.05), and operative delivery for fetal distress (p = 0.002) occurred. Significantly higher umbilical arterial blood pH values were also noted in the infusion group (p = 0.02). We conclude that prophylactic intrapartum amnioinfusion is an important technique for the reduction of intrapartum morbidity. |
| Databáze: | OpenAIRE |
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