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Amnioinfusion

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41. 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

42. 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

44. Extracorporeal membrane oxygenation support in a newborn with lower urinary tract obstruction and pulmonary hypoplasia: a case report (PubMed)

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

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2018 Journal of medical case reports

45. 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

46. 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

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

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

48. 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

49. Evidence-based, ethically justified counseling for fetal bilateral renal agenesis (PubMed)

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.

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2017 Journal of perinatal medicine

50. 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

51. 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

52. 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

53. The Comparative Effectiveness of Liberal Versus Restricted Maternal Administration of Oxygen During Labor

Use [ Time Frame: during labor ] Number of Participants Who Received Intrauterine Resuscitation Other Than Administration of Maternal Oxygen [ Time Frame: during labor ] "Intrauterine resuscitation" includes administration of terbutaline, amnioinfusion, cessation of oxytocin, and intravenous (IV) fluid boluses. In this measure, the number of participants who received any of these 5 procedures will be reported in aggregate as the "number of participants who received intrauterine resuscitation other

2016 Clinical Trials

54. Long-term neurologic outcomes after common fetal interventions (PubMed)

with a cohort of more than 5 patients and with follow-up of 1 year or longer. We divided procedures into those performed for singletons and for multiples. Singleton procedures included amnioinfusion for preterm premature rupture of membranes, intrauterine transfusion for red cell alloimmunization-associated anemia, intrauterine transfusion for parvovirus-associated anemia, vesicoamniotic shunts, thoracoamniotic shunts, ventriculoamniotic shunts, fetal endoscopic tracheal occlusion for congenital

2015 EvidenceUpdates

55. Long-term neurologic outcomes after common fetal interventions. (PubMed)

with a cohort of more than 5 patients and with follow-up of 1 year or longer. We divided procedures into those performed for singletons and for multiples. Singleton procedures included amnioinfusion for preterm premature rupture of membranes, intrauterine transfusion for red cell alloimmunization-associated anemia, intrauterine transfusion for parvovirus-associated anemia, vesicoamniotic shunts, thoracoamniotic shunts, ventriculoamniotic shunts, fetal endoscopic tracheal occlusion for congenital

2015 American Journal of Obstetrics and Gynecology

56. Interventions for Intrauterine Resuscitation in Suspected Fetal Distress During Term Labor: A Systematic Review. (PubMed)

studies: 4 studies on amnioinfusion, 1 study on maternal hyperoxygenation, 1 study on maternal repositioning, 1 study on intravenous fluid administration, and 8 studies on tocolysis. Of these 15 research papers, 3 described a randomized controlled trial; all other studies were observational reports or case reports.Little robust evidence to promote a specific intrauterine resuscitation technique is available. Based on our literature search, we support the use of tocolysis and maternal repositioning (...) for fetal distress. We believe the effect of amnioinfusion and maternal hyperoxygenation should be further investigated in properly designed randomized controlled trials to make up the balance between beneficial and potential hazardous effects.

2015 Obstetrical & Gynecological Survey

57. Fetal Cystoscopy for Lower Urinary Tract Obstruction

and we will not attempt to perforate this structure. A vesicoamniotic shunting placement will be performed in this situation depending on the patient's consent prior to the surgery. Active Comparator: Vesicoamniotic shunt The fetal vesicoamniotic shunt is considered the standard prenatal therapy for severe LUTO. Amnioinfusion and vesicoamniotic shunt placement will be performed under ultrasound guidance. Procedure: Fetal vesicoamniotic shunt Fetal vesicoamniotic shunt will be performed under

2015 Clinical Trials

58. Interventions for helping to turn term breech babies to head first presentation when using external cephalic version. (PubMed)

to facilitate ECV.To assess, from the best evidence available, the effects of interventions such as tocolysis, acoustic stimulation for midline spine position, regional analgesia (epidural or spinal), transabdominal amnioinfusion, systemic opioids and hypnosis, or the use of abdominal lubricants, on ECV at term for successful version, presentation at birth, method of birth and perinatal and maternal morbidity and mortality.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 (...) 1.48, 95% CI 0.62 to 3.57, two studies, 210 women, low-quality evidence), although studies were underpowered for assessing these outcomes. Studies did not report on failure to achieve a cephalic vaginal birth (breech vaginal deliveries plus caesarean sections) nor on perinatal mortality or serious infant morbidity.Data were insufficient on the use of regional analgesia without tocolysis, vibroacoustic stimulation, amnioinfusion, systemic opioids and hypnosis, and on the use of talcum powder or gel

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2015 Cochrane database of systematic reviews (Online)

59. Severe midtrimester oligohydramnios: treatment strategies. (PubMed)

Severe midtrimester oligohydramnios: treatment strategies. Nearly 1% of pregnancies are affected by some type of midtrimester oligohydramnios. Evidence is currently accumulating that suggests the better efficacy of the new therapeutic procedures relative to conventional management. This review summarizes the available evidence.The prolongation of the period between the diagnosis of oligohydramnios and delivery following amnioinfusion and amniopatch techniques appears to be strongly associated (...) with the gestational age and whether the situation was based on rupture of the membranes or not. Case series reveal that amnioinfusion significantly improves the perinatal outcome and prolongs the pregnancy in severe second-trimester oligohydramnios in both idiopathic cases and those involving rupture of the amniotic membranes [preterm prelabor rupture of the membranes (PPROM)]. There is clear evidence of a lower frequency of perinatal complications and successfully prolonged gestation in iatrogenic PPROM after

2014 Current Opinion in Obstetrics and Gynecology

60. Successful in utero intervention for bilateral renal agenesis. (PubMed)

Successful in utero intervention for bilateral renal agenesis. We report a case of bilateral renal agenesis treated with serial amnioinfusion in which the newborn survived the newborn period and was able to undergo peritoneal dialysis as a bridge to planned renal transplantation.A 34-year-old woman, gravida 1 para 0, presented at 23 1/7 weeks of gestation with a diagnosis of anhydramnios and bilateral renal agenesis. The patient underwent weekly serial amnioinfusion with the goal of improving (...) fetal pulmonary development. At 28 weeks of gestation, the patient delivered a live newborn who required minimal respiratory support. The neonate is currently 9 months old and is undergoing daily peritoneal dialysis.Serial amnioinfusion appears to have mitigated the severe pulmonary compromise that has, in the past, led to the death of newborns with bilateral renal agenesis.

2014 Obstetrics and Gynecology

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