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Amnioinfusion

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21. Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24+0 Weeks of Gestation Full Text available with Trip Pro

looking for the following terms in the title or abstract ‘preterm prelabour rupture of membranes’, ‘amnioinfusion’, ‘chorioamnionitis,’ ‘intra‐amniotic infection’, ‘IGFBP‐1’, ‘PAMG‐1’, ‘amniocentesis’, ‘antenatal corticosteroids’ and ‘tocolytics’. The search was restricted to articles published until January 2019. The full search strategy is available to view online as supporting information (Appendix and ). This guideline was developed using the methodology described in Clinical Governance Advice 1 (...) on methods to monitor the fetus following PPROM found insufficient evidence (three randomised controlled trials) to allow recommendations to be made. Evidence level 1++ 6.6 Is there a role for amnioinfusion in PPROM? Recommendation Evidence Level Strength Rationale for the recommendation In PPROM, amnioinfusion is not recommended as part of routine clinical practice 1+ B Cochrane review found some benefits of amnioinfusion, but questioned the quality of the evidence Amnioinfusion might improve neonatal

2019 Royal College of Obstetricians and Gynaecologists

26. Alterations of the Uteroplacental and Fetal Pulmonary Circulation Following Amnioinfusion

Alterations of the Uteroplacental and Fetal Pulmonary Circulation Following Amnioinfusion Alterations of the Uteroplacental and Fetal Pulmonary Circulation Following Amnioinfusion - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Alterations of the Uteroplacental and Fetal Pulmonary Circulation Following Amnioinfusion The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01258725 Recruitment Status : Unknown Verified December 2010 by Szeged University. Recruitment status was: Not yet recruiting First

2010 Clinical Trials

27. Transabdominal amnioinfusion in preterm premature rupture of membranes. (Abstract)

Transabdominal amnioinfusion in preterm premature rupture of membranes. To evaluate the effect of transabdominal amnioinfusion on prolongation of pregnancy, and maternal and neonatal outcomes in preterm premature rupture of membranes (pPROM).We conducted a prospective randomized controlled study of women with pPROM during singleton live pregnancy-between 26 and 33+6weeks-whose amniotic fluid index (AFI) was less than the 5th percentile. The study group underwent transabdominal amnioinfusion (...) % vs 33%]).Transabdominal amnioinfusion reduced fetal distress, early neonatal sepsis, and neonatal mortality. In the study group, more participants delivered spontaneously and there were fewer cases of postpartum sepsis, although the pPROM-delivery interval was not increased.

2010 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Controlled trial quality: uncertain

28. Does amnioinfusion reduce caesarean section rate in meconium-stained amniotic fluid. (Abstract)

Does amnioinfusion reduce caesarean section rate in meconium-stained amniotic fluid. The purpose of our study was to evaluate the safety and efficacy of transcervical amnioinfusion during labour complicated by meconium-stained amniotic fluid, in a setting with limited peripartum facilities, to lower the incidence of caesarean section.A prospective study was conducted in a teaching hospital in north India, which enrolled 292 patients admitted in labour. Patients were randomly divided into two (...) groups after taking their consent. One group received transcervical amnioinfusion, whilst in the other group amnioinfusion was not done. Caesarean sections were performed in either group if there were foetal heart rate abnormalities (bradycardia or irregularity for 10-20 min) or slow progress of labour. The outcomes studied were the incidence of caesarean sections, duration of maternal hospital stay, maternal febrile morbidity (temperature of >38 degrees C, 24 h after delivery), low Apgar score (at 1

2010 Archives of gynecology and obstetrics Controlled trial quality: uncertain

29. Umbilical Cord Prolapse

, 11,21 particularly in the presence of an unengaged presenting part, are the interventions that most frequently precede cord prolapse. In general, these factors predispose to cord prolapse by preventing close application of the presenting part to the lower part of the uterus and/or pelvic brim. One study of induction of labour using transcervical balloon catheters showed a significant increase in the rate of cord presentation after inflation with saline above 180 ml. 20 Amnioinfusion is used (...) , Yamada T , Morikawa M, et al. Umbilical cord presentation after use of a trans-cervical balloon catheter. J Obstet Gynaecol Res 2013;39:658–62. 21. Usta IM, Mercer BM, Sibai BM. Current obstetrical practice and umbilical cord prolapse. Am J Perinatol 1999;16:479–84. 22. Skupski DW , Harrison-Restelli C, Dupont RB. External cephalic version: an approach with few complications. Gynecol Obstet Invest 2003;56:83–8. 23. Hofmeyr GJ, Lawrie TA. Amnioinfusion for potential or suspected umbilical cord

2014 Royal College of Obstetricians and Gynaecologists

30. Warming of Amniofluid: Safety

identified. Non-Randomized Studies No literature identified. Guidelines and Recommendations No literature identified. PREPARED BY: Canadian Agency for Drugs and Technologies in Health Tel: 1-866-898-8439 www.cadth.ca Warming of Amniofluid 3 APPENDIX – FURTHER INFORMATION: Clinical Practice Guidelines 1. Amnioinfusion [Internet]. Ann Arbor (MI): University of Michigan; 2013. [cited 2013 Oct 10]. (Nursing guideline). Available from: http://obgyn.med.umich.edu/sites/obgyn.med.umich.edu/files (...) /internal_resources_clinical/a mnioinfusion_1.pdf See: Section III,E 2. Amnioinfusion [Internet]. In: Obstetrics and gynaecology clinical guidelines. Perth (AU): King Edward Memorial Hospital; 2011 Feb. Chapter 5, section 5.7.1 [cited 2013 Oct 10]. (Clinical guidelines). Available from: http://www.kemh.health.wa.gov.au/development/manuals/O&G_guidelines/sectionb/5/b5.7 .1.pdf See: Key Point 2 3. Swinkels G. Amnioinfusion policy [Internet]. In: Chesterfield (MO): St. Luke's Hospital; 2011 Feb [cited 2013 Oct 10]. Available

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

31. The Value of Amniopatch in Preterm Premature Rupture of Membranes

Details Study Description Go to Brief Summary: A randomized controlled trial that involved 100 women diagnosed with PPROM between 24 and 34 weeks of gestational age. Participants were randomized equally into 2 groups. Group I in which amniopatch was done (an amnioinfusion of platelet concentrate followed by fresh frozen plasma in addition to the routine management used in the control group. Group II were treated with routine management including antibiotics and corticosteroids Condition or disease (...) as the accumulation of amniotic fluid was monitored by ultrasound. Usually a total of around 60-80 mL of platelets, 100-150 mL of FFP and 100-150 mL of amnioinfusion fluid was used throughout the procedure Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 100 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Treatment Official Title: The Value of Amniopatch in Pregnancies

2018 Clinical Trials

32. Routine Early vs Delayed Amniotomy for Preterm Pregnancies: A Randomized Open Label Trial

Frame: during labor and delivery ] Meconium is noted in the amniotic fluid after rupture of membranes Tachysystole [ Time Frame: during labor ] As defined by ACOG, practice bulletin No 110 Use of amnioinfusion [ Time Frame: during labor ] Placement of an intrauterine catheter and infusion of saline into the uterus during induction of labor Use of intrapartum tocolytics [ Time Frame: during labor ] Administration of a tocolytic drug during labor Eligibility Criteria Go to Information from

2018 Clinical Trials

33. Extracorporeal membrane oxygenation support in a newborn with lower urinary tract obstruction and pulmonary hypoplasia: a case report Full Text available with Trip Pro

Extracorporeal membrane oxygenation support in a newborn with lower urinary tract obstruction and pulmonary hypoplasia: a case report Survival of neonates with intrauterine renal insufficiency and oligo- or anhydramnios correlates with the severity of secondary pulmonary hypoplasia. Early prenatal diagnosis together with repetitive amnioinfusions and modern intensive care treatment have improved the prognosis of these neonates. Extracorporeal membrane oxygenation is an established treatment

2018 Journal of medical case reports

34. Risk factors for nonreassuring fetal heart rate tracings after artificial rupture of membranes in spontaneous labor. (Abstract)

deliveries with a normal FHR and those who developed nonreassuring FHR. Nonreassuring FHR was defined as fetal tracing that necessitated intrauterine resuscitation, which included: oxytocin withheld, amnioinfusion, or immediate instrumental or cesarean birth.Of 664 deliveries, nonreassuring FHR occurred in 141 (21.2%) and normal FHR in 523 (78.7%). Both groups were notable for similar maternal characteristics and a similar gestational age. Epidural block was significantly more common in the nonreassuring

2018 Birth

35. Safe Prevention of the Primary Cesarean Delivery

vaginal delivery or cesarean delivery. In order to safely prevent cesarean deliveries in the setting of malposition, it is important to assess the fetal position in the second stage of labor, particularly in the setting of abnormal fetal descent. 1B Strong recommendation, moderate quality evidence Fetal heart rate monitoring Amnioinfusion for repetitive variable fetal heart rate decelerations may safely reduce the rate of cesarean delivery. 1A Strong recommendation, high quality evidence Scalp (...) cord, are not themselves pathologic. However, if frequent and persistent, they can lead to fetal acidemia over time. Conservative measures, such as position change, may improve this pattern. Amnioinfusion with normal saline also has been demonstrated to resolve variable fetal heart rate decelerations ( ) and reduce the incidence of cesarean delivery for a nonreassuring fetal heart rate pattern ( ). Similarly, other elements of Category II fetal heart rate tracings that may indicate fetal acidemia

2014 American College of Obstetricians and Gynecologists

36. Responding to intimate partner violence and sexual violence against women

of the present guidelines is to improve the quality of care and outcomes for... RHL Article The effects of amnioinfusion for preterm premature rupture of membranes (PPROM) are limited by the small sample sizes of the included studies Amnioinfusion for third trimester preterm premature rupture of membranes Guideline Caesarean section rates have been steadily increasing worldwide over the last few decades above levels that cannot be considered medically necessary. This trend has not been accompanied (...) and morbidity worldwide. The primary goal of the present guidelines is to improve the quality of care and outcomes for... RHL Article The effects of amnioinfusion for preterm premature rupture of membranes (PPROM) are limited by the small sample sizes of the included studies Amnioinfusion for third trimester preterm premature rupture of membranes Guideline Caesarean section rates have been steadily increasing worldwide over the last few decades above levels that cannot be considered medically necessary

2013 World Health Organisation Guidelines

37. WHO recommendations for the prevention and treatment of postpartum haemorrhage

of the present guidelines is to improve the quality of care and outcomes for... RHL Article The effects of amnioinfusion for preterm premature rupture of membranes (PPROM) are limited by the small sample sizes of the included studies Amnioinfusion for third trimester preterm premature rupture of membranes Guideline Caesarean section rates have been steadily increasing worldwide over the last few decades above levels that cannot be considered medically necessary. This trend has not been accompanied (...) and morbidity worldwide. The primary goal of the present guidelines is to improve the quality of care and outcomes for... RHL Article The effects of amnioinfusion for preterm premature rupture of membranes (PPROM) are limited by the small sample sizes of the included studies Amnioinfusion for third trimester preterm premature rupture of membranes Guideline Caesarean section rates have been steadily increasing worldwide over the last few decades above levels that cannot be considered medically necessary

2012 World Health Organisation Guidelines

38. Safe abortion: technical and policy guidance for health systems

guidelines is to improve the quality of care and outcomes for... RHL Article The effects of amnioinfusion for preterm premature rupture of membranes (PPROM) are limited by the small sample sizes of the included studies Amnioinfusion for third trimester preterm premature rupture of membranes Guideline Caesarean section rates have been steadily increasing worldwide over the last few decades above levels that cannot be considered medically necessary. This trend has not been accompanied by significant (...) and morbidity worldwide. The primary goal of the present guidelines is to improve the quality of care and outcomes for... RHL Article The effects of amnioinfusion for preterm premature rupture of membranes (PPROM) are limited by the small sample sizes of the included studies Amnioinfusion for third trimester preterm premature rupture of membranes Guideline Caesarean section rates have been steadily increasing worldwide over the last few decades above levels that cannot be considered medically necessary

2012 World Health Organisation Guidelines

39. Evidence-based, ethically justified counseling for fetal bilateral renal agenesis Full Text available with Trip Pro

was performed using multiple databases. We deploy an ethical analysis of the results of the literature search on the basis of the professional responsibility model of obstetric ethics.Eighteen articles met the inclusion criteria for review. With the exception of a single case study using serial amnioinfusion, there has been no other case of survival following dialysis and transplantation documented. Liveborn babies die during the neonatal period. Counseling pregnant women about management of pregnancies (...) complicated by bilateral renal agenesis should be guided by beneficence-based judgment informed by evidence about outcomes.Based on the ethical analysis of the results from this review, without experimental obstetric intervention, neonatal mortality rates will continue to be 100%. Serial amnioinfusion therefore should not be offered as treatment, but only as approved innovation or research.

2017 Journal of perinatal medicine

40. Renal Agenesis Fetal Therapy

Description Go to Brief Summary: Early pregnancy renal anhydramnios or EPRA is a condition where a pregnant woman does not have any amniotic fluid around her fetus because of a problem with the fetus's kidneys. This condition is thought to be fatal once the fetus is born because of inadequate lung growth. The Renal Anhydramnios Fetal Therapy (RAFT) Trial offers eligible pregnant women with a diagnosis of EPRA an experimental therapy of repeated or serial "amnioinfusions" of fluid into the womb (...) . An amnioinfusion involves placing a small needle through the pregnant woman's skin into the womb next to the fetus. Warm sterile fluid with balanced electrolytes and antibiotics is then slowly infused into amniotic space inside the womb. The aim is to help the fetus's lungs grow enough so he or she can survive after birth. These amnioinfusions will be carried out by an expert in fetal interventions at a RAFT center. There is a significant risk of early rupture of membranes and early delivery in subjects who

2017 Clinical Trials

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