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192 results for

Amnioinfusion

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181. Amnioinfusion for preventing puerperal infection. A prospective study. (PubMed)

Amnioinfusion for preventing puerperal infection. A prospective study. To evaluate the hypothesis that irrigation of the uterine cavity by amnioinfusion in women with membranes ruptured for greater than six hours would decrease maternal puerperal infection.We designed a prospective study at three teaching institutions. Sixty-eight women were randomized to receive either amnioinfusion or routine care. Amnioinfusion was through preexisting internal uterine pressure catheters with a 300-500-mL (...) bolus and a 125-150 mL/h constant drip. Chorioamnionitis and endometritis were evaluated as the outcome variables.Women from the amnioinfusion group, n = 36, and the control group, n = 32, had similar times in labor (mean 4 hours), times of ruptured membranes (mean 18 hours), vaginal examinations (mean 7), gestational age (mean 40 weeks), types of anesthesia and methods of delivery. Women who received amnioinfusion had significantly less puerperal infection, 9/36, as compared to women in the control

1995 Journal of Reproductive Medicine Controlled trial quality: uncertain

182. Lipid peroxidation in cord blood: a randomised sequential pairs study of prophylactic saline amnioinfusion for intrapartum oligohydramnios. (PubMed)

Lipid peroxidation in cord blood: a randomised sequential pairs study of prophylactic saline amnioinfusion for intrapartum oligohydramnios. To determine the efficacy of prophylactic intrapartum amnioinfusion in reducing cord arterial lipid peroxide levels in cases of intrapartum oligohydramnios.Sequential randomised pairs trial.Delivery suite of a teaching hospital, the Chinese University of Hong Kong.Women with singleton, term pregnancy, cephalic presentation, clear amniotic fluid (...) and an amniotic fluid index < or = 5 cm, with a normal intrapartum fetal heart rate tracing within 30 minutes of amniotomy.Selected patients were randomised either for prophylactic saline amnioinfusion or as control cases. Cord arterial lipid peroxide concentrations and acid base balance were determined at delivery.Operative intervention for fetal distress, cord arterial malondialdehyde and organic hydroperoxide levels, pH and base excess.Amnioinfusion was associated with significant reductions

1997 British journal of obstetrics and gynaecology Controlled trial quality: uncertain

183. Intrapartum amnioinfusion for meconium-stained liquor in developing countries. (PubMed)

Intrapartum amnioinfusion for meconium-stained liquor in developing countries. Intrapartum amnioinfusion (AI) has been reported to decrease perinatal mortality and morbidity in women with meconium-stained liquor. Such work has not previously been performed at King Edward VIII Hospital (KEH), in a developing country, where the incidence of meconium-stained liquor is said to be extremely high.To establish whether AI during the intrapartum period for meconium-stained liquor decreases Caesarean (...) section rates for fetal distress and decreases perinatal morbidity.Informed consent was obtained from patients in labour who were 3-8 cm dilated, with meconium-staining of the liquor, grades I to III inclusive, and who had a normal cardiotocograph on presentation at term. Sixty patients were included in the trial; 30 had AI. The control group was managed by standard methods. The study group had an amnioinfusion of 0.9% normal saline at 15 ml/min under continuous cardiotocographic monitoring, until

1998 Tropical Doctor Controlled trial quality: uncertain

184. Amnioinfusion in labor induction of term pregnancies with premature rupture of the membranes and low amniotic fluid. (PubMed)

Amnioinfusion in labor induction of term pregnancies with premature rupture of the membranes and low amniotic fluid. To analyze the utility of prophylactic amnioinfusion in term pregnancies with PROM and a low amniotic fluid index during labor induction.Forty-two women with amnioinfusion and 42 in a control group with amniotic fluid index (AFI) below 10 cm when admitted to labor induction were studied. All patients had electronic fetal heart rate and intrauterine pressure continuous monitoring (...) . Amnioinfusion of normal saline (37 degrees C) was realized in the study group, using a continuous perfusion pump at 600 ml/h for 1 h, after which the AFI was again recorded; if this was < 15, the perfusion was continued at 180 ml/h until full cervical dilatation was achieved or until uterine baseline activity reached 20 mm Hg. The control group received identical obstetric care except in respect of amnioinfusion.Both groups were similar in age, primiparity, gestational age, initial AFI, interval from

1998 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Controlled trial quality: uncertain

185. Amnioinfusion in term labor with low amniotic fluid due to rupture of membranes: a new indication. (PubMed)

Amnioinfusion in term labor with low amniotic fluid due to rupture of membranes: a new indication. The null hypothesis was that the use of intrapartum amnioinfusion to induce term labor because of premature rupture of membranes when labor was complicated by low amniotic fluid volume due to vaginal loss would not improve fetal heart rate patterns, decrease the incidence of operative delivery, or improve neonatal acid-base status.200 term pregnancies with low amniotic fluid due to vaginal loss (...) were randomly chosen to receive intrapartum amnioinfusion or standard obstetric care without amnioinfusion. Fetal heart rate pattern, method of delivery and neonatal acid-base status were compared with Student's t test, chi-squared analysis, Mann-Whitney U- or Fisher's exact test.When amnioinfusion was used, the fetuses had lower rates of variable (74 vs. 91%, P<0.01) or late (26 vs. 58%, P<0.001) decelerations. Spontaneous deliveries were more frequent (77 vs. 59%, P<0.01) and cesarean sections

1999 European journal of obstetrics, gynecology, and reproductive biology Controlled trial quality: uncertain

186. Prophylactic amnioinfusion in preganancies complicated by chorioamnionitis: a prospective randomized trial. (PubMed)

Prophylactic amnioinfusion in preganancies complicated by chorioamnionitis: a prospective randomized trial. The objective of this article is to prospectively investigate the efficacy of amnioinfusion as a means to reduce febrile morbidity in pregnancies complicated by chorioamnionitis. All laboring patients with a temperature > or =100.1 degrees F were approached for study participation. Exclusion criteria included amnionitis diagnosed at greater than 8 cm dilation, multiple gestation (...) , placental abruption, or a nonreassuring fetal heart rate tracing. Consenting patients were randomized to receive antibiotics (ampicillin or penicillin with gentamicin) and acetaminophen with or without amnioinfusion. All patients received intrauterine pressure catheter placement. For study patients, normal saline at room temperature was infused at 10 mL/min for 60 min, then 3 mL/min until delivery. Postpartum endometritis was defined as a temperature = 100.4 degrees F accompanied by uterine tenderness

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1998 American journal of perinatology Controlled trial quality: uncertain

187. Intrapartum amnioinfusion in women with oligohydramniosis. A prospective randomized trial. (PubMed)

Intrapartum amnioinfusion in women with oligohydramniosis. A prospective randomized trial. To evaluate the effects of amnioinfusion in oligohydramniosis.During a 20-month period, patients at term with oligohydramniosis (amniotic fluid index less than 5 cm) at Huddinge University and Norrköping Hospitals were recruited for a prospective randomized study to evaluate amnioinfusion. Informed consent was obtained from 112 patients who met the entry criteria. Sixty subjects were randomized (...) to amnioinfusion and 52 to the control group. Outcome parameters included fetal heart rate abnormalities, mode of delivery, Apgar score, pH in umbilical artery blood and need for neonatal intensive care.The cesarean section rate was significantly reduced in the amnio-infusion group (29% versus 13%, p=0.043). No difference in time from randomization to delivery was detected between the two groups. The frequency of ominous fetal heart rate tracings with a cervical dilatation of 0-3 cm was the same in the two

1999 Acta Obstetricia et Gynecologica Scandinavica Controlled trial quality: uncertain

188. Prophylactic cefazolin in amnioinfusions administered for meconium-stained amniotic fluid. (PubMed)

Prophylactic cefazolin in amnioinfusions administered for meconium-stained amniotic fluid. To determine if amnioinfusion with an antibiotic solution decreased the rate of clinical chorioamnionitis and puerperal endometritis in patients with meconium-stained amniotic fluid.Patients in labor at 36 weeks of gestation or greater with singleton pregnancies and meconium-stained amniotic fluid were randomized to receive either cefazolin, 1 g/1,000 mL, of normal saline (n = 90) or normal saline (n = 93 (...) ) amnioinfusion. Rates of clinically diagnosed chorioamnionitis and endometritis and of suspected and culture-proven neonatal infection were determined.Between the study and control groups, the incidences of clinical chorioamnionitis (7.8% vs. 8.6%), endometritis (2.4% vs. 3.5%), aggregate intrauterine infection (10.0% vs. 11.8%), suspected neonatal infection (17.8% vs. 21.5%), and proven neonatal infection (0.0% vs. 2.2%) were not significantly different.Prophylactic use of cefazolin in amnioinfusions did

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1999 Infectious diseases in obstetrics and gynecology Controlled trial quality: uncertain

189. Randomized trial of intermittent or continuous amnioinfusion for variable decelerations. (PubMed)

Randomized trial of intermittent or continuous amnioinfusion for variable decelerations. To determine whether continuous or intermittent bolus amnioinfusion is more effective in relieving variable decelerations.Patients with repetitive variable decelerations were randomized to an intermittent bolus or continuous amnioinfusion. The intermittent bolus infusion group received boluses of 500 mL of normal saline, each over 30 minutes, with boluses repeated if variable decelerations recurred (...) . The continuous infusion group received a bolus infusion of 500 mL of normal saline over 30 minutes and then 3 mL per minute until delivery occurred. The ability of the amnioinfusion to abolish variable decelerations was analyzed, as were maternal demographic and pregnancy outcome variables. Power analysis indicated that 64 patients would be required.Thirty-five patients were randomized to intermittent infusion and 30 to continuous infusion. There were no differences between groups in terms of maternal

2000 Obstetrics and Gynecology Controlled trial quality: uncertain

190. Meconium concentration and amniotic fluid index influence the outcome of amnioinfusion. (PubMed)

Meconium concentration and amniotic fluid index influence the outcome of amnioinfusion. To determine the usefulness of amnioinfusion as a function of meconium concentration and amniotic fluid index.This was a prospective study of 206 pregnant women in whom amniotic fluid was moderately or heavily stained with meconium, according to subjective evaluation. The women were assigned randomly to receive amnioinfusion (n=103) or no amnioinfusion (control group, n=103). The results were compared (...) in women with =/<15 % or >15 % meconium in the amniotic fluid (measured by centrifugation), and in women in whom the amniotic fluid index calculated 60 min after insertion of the amnioinfusion catheter was <10 or =/>10.In women with >15% meconium, amnioinfusion decreased the rate of cesarian sections motivated by fetal distress (2.5% vs 22.2%), and in women with =/<15% meconium, amnioinfusion decreased the presence of meconium below the vocal cords (6.4% vs 25.9%). Greater benefits after amnioinfusion

2001 Minerva ginecologica Controlled trial quality: uncertain

191. Randomised trial of amnioinfusion during labour with meconium stained amniotic fluid. (PubMed)

Randomised trial of amnioinfusion during labour with meconium stained amniotic fluid. To assess the effect of amnioinfusion during labour with meconium stained amniotic fluid on caesarean section rate and perinatal outcome.Prospective randomised controlled study.A tertiary care teaching hospital in India.Women in labour at term with meconium stained amniotic fluid.Two hundred women in labour with > or = 37 weeks gestation, single cephalic presentation with moderate or thick meconium were (...) randomised to control and amnioinfusion groups at a 1:1 ratio. Amnioinfusion was performed using 500 mL of normal saline over a period of 30 minutes in a study group. The control group received routine care. Both groups had intermittent auscultation of fetal heart rate during labour.The primary outcome measure was caesarean section rate. Secondary outcome measures were meconium aspiration syndrome, 1 minute and 5 minute apgar < 7, hypoxic ischaemic encephalopathy, neonatal intensive care unit admission

2002 BJOG Controlled trial quality: predicted high

192. The effects of amnioinfused solutions for meconium-stained amniotic fluid on neonatal plasma electrolyte concentrations and pH. (PubMed)

The effects of amnioinfused solutions for meconium-stained amniotic fluid on neonatal plasma electrolyte concentrations and pH. To determine if amnioinfused normal saline or lactated Ringer's solution in cases of meconium-stained amniotic fluid is associated with significant changes on neonatal plasma electrolyte concentrations or pH.This was a prospective randomized study using normal saline or lactated Ringer's solution for amnioinfusion in women with thick meconium in the amniotic fluid (...) . The control group was composed of women with clear amniotic fluid not receiving amnioinfusion. Cord blood arterial sampling was analyzed for sodium, potassium, and chloride plasma concentrations and pH. The sample sizes allowed for an alpha of 0.05 and power of 0.80.We evaluated 61 cases (20 normal saline solution, 20 lactated Ringer's solution, and 21 control). No significant differences in cord blood arterial plasma concentrations of sodium (p=0.43), potassium (p=0.21), chloride (p=0.68), and pH (p=0.11

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2002 Journal of perinatology : official journal of the California Perinatal Association Controlled trial quality: uncertain

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