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Amnioinfusion

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101. Amniotic fluid index as a predictor of adverse perinatal outcome in the HELLP syndrome. (Abstract)

amnioinfusion for variable decelerations and/or indicated abdominal/vaginal operative delivery for nonreassuring fetal heart rate changes. Maternal characteristics and perinatal outcome parameters were compared AFI < or = vs. > 5 cm. Statistical analysis was performed using chi2 analysis, Student's t test and receiver-operator characteristic curve (ROC) analysis.Between January 1996 and February 1999, 120 patients were enrolled. Twenty-six (22%) had an AFI < or = 5 cm. This group did not differ from

2007 Journal of Reproductive Medicine

102. ACOG Committee Opinion Number 346, October 2006: amnioninfusion does not prevent meconium aspiration syndrome. (Abstract)

ACOG Committee Opinion Number 346, October 2006: amnioninfusion does not prevent meconium aspiration syndrome. Amnioinfusion has been advocated as a technique to reduce the incidence of meconium aspiration and to improve neonatal outcome. However, a large proportion of women with meconium-stained amniotic fluid have infants who have taken in meconium within the trachea or bronchioles before meconium passage has been noted and before amnioinfusion can be performed by the obstetrician; meconium (...) passage may predate labor. Based on current literature, routine prophylactic amnioinfusion for the dilution of amnioinfusion for meconium-stained amniotic fluid should be done only in the setting of additional clinical trials. However, amnioinfusion remains a reasonable approach in the treatment of repetitive variable decelerations, regardless of amniotic fluid meconium status.

2006 Obstetrics and Gynecology

103. Umbilical cord occlusion of the donor versus recipient fetus in twin-twin transfusion syndrome. (Abstract)

at delivery (34.8 vs. 33.8 weeks) and preterm premature rupture of membranes rate (16.6% vs. 15.7%) whether the donor or recipient twin, respectively, was the subject of UCO. However, two-trocar access (50% vs. 5.3%; P = 0.03) and amnioinfusion (83.3% vs. 0%; P < 0.001) were required more often in the UCO of the donor than of the recipient twin, respectively. Operating time (75 vs. 40 min) was significantly longer in UCO of the donor twin (P = 0.04). UCP was more likely to be used in occlusion

2004 Ultrasound in Obstetrics and Gynecology

104. Four-dimensional ultrasound guidance of prenatal invasive procedures. (Abstract)

Four-dimensional ultrasound guidance of prenatal invasive procedures. Technological advances in ultrasonography have revolutionized prenatal diagnosis and treatment. Here we evaluate the effectiveness of using four-dimensional (4D) ultrasonography to guide prenatal invasive procedures.Prenatal invasive procedures using 4D ultrasound were recorded prospectively in 93 cases: 10 amnioinfusions, 50 amniocenteses, 8 chorionic villus samplings (CVS) and 25 cordocenteses. The needle target site

2005 Ultrasound in Obstetrics and Gynecology

105. Premature Rupture of Membranes

:i134-43. doi: 10.1093/ije/dyq030. ; Royal College of Obstretricians and Gynaecologists (2012) ; Amnioinfusion for preterm premature rupture of membranes. Cochrane Database Syst Rev. 2011 Dec 7(12):CD000942. doi: 10.1002/14651858.CD000942.pub2. ; Royal College of Obstetricians and Gynaecologists (October 2010) ; Planned early birth versus expectant management for women with preterm prelabour rupture of membranes prior to 37 weeks' gestation for improving pregnancy outcome. Cochrane Database Syst Rev

2008 Mentor

106. Fetal Distress

that very short 'decision-to-incision' time (<20 minutes) may be inversely proportional to neonatal outcomes, ie lower umbilical pH and Apgar scores [ ] . Amnioinfusion has been shown to be beneficial in suspected umbilical cord compression (particularly when there is oligohydramnios), with a reduced risk of caesarean section [ ] : In this process, sodium chloride or Ringer's lactate is infused transcervically or, if the membranes are still intact, via a needle inserted under ultrasound guidance through (...) pneumonitis if inhaled: Significant meconium is defined as dark green or black amniotic fluid that is thick or tenacious, or any meconium-stained amniotic fluid containing lumps of meconium [ ] : If significant meconium is present, fetal blood sampling and advanced neonatal life support may be required at delivery. If there has been non-significant meconium, the baby should be observed at one and two hours. Amnioinfusion has been used to reduce the risk of meconium aspiration by diluting the meconium

2008 Mentor

107. Oligohydramnios

, the gestational age, the inducibility of the mother's cervix and the severity of the oligohydramnios. After term : Isolated oligohydramnios in the post-term patient has no greater risk for caesarean delivery and there is insufficient evidence to support induction for women with oligohydramnios. [ , ] The treatment of maternal dehydration with oral or intravenous rehydration has been shown to increase the AFV by 30%. [ ] Amnioinfusion Increasing the amount of fluid within the amniotic cavity can (...) be accomplished with the use of amnioinfusion. In this process, sodium chloride or Ringer's lactate is infused under ultrasound guidance via a needle inserted through the uterine wall. The current evidence on the safety and efficacy of this procedure means it is only undertaken in the UK under special arrangements that include audit and research. [ ] Amnioinfusion can also be undertaken during labour transcervically via an intrauterine catheter. However, The Royal College of Obstetricians and Gynaecologists

2008 Mentor

108. Meconium-stained amniotic fluid in labor: a randomized trial of prophylactic amniofusion. (Abstract)

Meconium-stained amniotic fluid in labor: a randomized trial of prophylactic amniofusion. To investigate the effect of amnioinfusion in women with meconium-stained amniotic fluid on the rate of cesarian sections and on neonatal morbidity.A randomized controlled trial. A total of 206 women with meconium-stained amniotic fluid were assigned to receive amnioinfusion via two-way catheter or no amnioinfusion (control group). The catheter was inserted and other treatment was the same in both (...) groups.Amnioinfusion decreased the rate of cesarian sections for fetal distress (RR 0.23, 95% CI 0.07-0.79) and increased mean pH at birth (7.24+/-0.1 versus 7.21+/-0.1, P<0.05). It also decreased the frequency of variable fetal heart rate decelerations (RR 0.74, 95% CI 0.59-0.92), and of meconium below the vocal cords in neonates (RR 0.37, 95% CI 0.19-0.69).Amnioinfusion improves the neonatal outcome and reduces the frequency of cesarian sections.

2001 European journal of obstetrics, gynecology, and reproductive biology Controlled trial quality: uncertain

109. Diagnosis and management of abdominal pregnancy. A case report. (Abstract)

Diagnosis and management of abdominal pregnancy. A case report. Abdominal pregnancy is a rare obstetric emergency, occurring in 1 in 10,000 pregnancies.An 18-year-old woman, gravida 3, para 1, presented for evaluation of an abnormal level of maternal serum alpha-fetoprotein. Transabdominal ultrasound examination revealed absence of amniotic fluid with limited imaging ability. Transabdominal amnioinfusion was done to better visualize the fetus. A small uterus was seen in the pelvis

2002 Journal of Reproductive Medicine

110. An aggressive interventional protocol for early midtrimester premature rupture of the membranes using gelatin sponge for cervical plugging. (Abstract)

; and a maximum vertical fluid pocket of less than 1.5 cm were candidates. Interventions included hospital admission, amnioinfusion, cervical cerclage, administration of gelatin sponge (Gelfoam) into the amniotic cavity, antibiotic administration, and perioperative tocolysis. Weekly assessment of fluid status was performed and if oligohydramnios returned, patients were offered repeat amnioinfusion.Fifteen women with PROM at 17.9 +/- 2.2 weeks' gestation (range 13-21 weeks) underwent this protocol. Spontaneous

2002 American Journal of Obstetrics and Gynecology

111. Recent evidence associated with the condition of preterm prelabour rupture of the membranes. (Abstract)

biology and physiology of membrane structure, the role of host susceptibility and the genetics of preterm birth and therapeutic options for the management of preterm prelabour rupture, including antibiotics, amnioinfusion and special situations.Neonatal morbidity from preterm prelabour rupture of the membranes is mainly related to oligohydramnios and pulmonary hypoplasia. Occupational factors have a significant effect on the occurrence and outcome following rupture. Matrix metalloproteinases control

2003 Current Opinion in Obstetrics and Gynecology

112. Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) (IPG192)

Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) (IPG192) Overview | Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) | Guidance | NICE Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) Interventional procedures guidance [IPG192] Published date: November 2006 Share Save Guidance The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales (...) , Scotland and Northern Ireland on therapeutic amnioinfusion for oligohydramnios during pregnancy in November 2006. In accordance with the Interventional Procedures Programme Process Guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available. The guidance was considered for reassessment in November 2009 and it was concluded that NICE will not be updating this guidance at this stage. However, if you

2006 National Institute for Health and Clinical Excellence - Interventional Procedures

113. Intrapartum amnioinfusion for meconium-stained amniotic fluid: a systematic review of randomised controlled trials

Intrapartum amnioinfusion for meconium-stained amniotic fluid: a systematic review of randomised controlled trials Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

114. Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour)

Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) National Institute for Health and Clinical Excellence Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation National (...) Institute for Health and Clinical Excellence. Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) London: National Institute for Health and Clinical Excellence (NICE). Interventional Procedure Guidance 192. 2006 Authors' objectives This study aims to assess the current evidence on therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour). Authors' conclusions 1 Guidance 1.1 Current evidence on the safety and efficacy of therapeutic amnioinfusion

2006 Health Technology Assessment (HTA) Database.

115. Amnioinfusion for umbilical cord compression in labour. (Abstract)

Amnioinfusion for umbilical cord compression in labour. Amnioinfusion aims to prevent or relieve umbilical cord compression during labour by infusing a solution into the uterine cavity.The objective of this review was to assess the effects of amnioinfusion on maternal and perinatal outcome for potential or suspected umbilical cord compression or potential amnionitis.The Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register were searched.Randomised (...) trials of amnioinfusion compared with no amnioinfusion in women with babies at risk of umbilical cord compression; and women at risk of intrauterine infection.Eligibility and trial quality were assessed by the reviewer.Twelve studies were included. Transcervical amnioinfusion for potential or suspected umbilical cord compression was associated with the following reductions: fetal heart rate decelerations (relative risk 0.54, 95% confidence interval 0.43 to 0.68); caesarean section for suspected fetal

2000 Cochrane

116. Amnioinfusion for meconium-stained liquor in labour. (Abstract)

Amnioinfusion for meconium-stained liquor in labour. Amnioinfusion aims to prevent or relieve umbilical cord compression during labour by infusing a solution into the uterine cavity. It is also thought to dilute meconium when present in the amniotic fluid and so reduce the risk of meconium aspiration. However it may be that the mechanism of effect is that it corrects oligohydramnios (reduced amniotic fluid), for which thick meconium staining is a marker.The objective of this review (...) was to assess the effects of amnioinfusion for meconium-stained liquor on perinatal outcome.The Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register were searched.Randomised trials comparing amnioinfusion with no amnioinfusion for women in labour with moderate or thick meconium-staining of the amniotic fluid.Eligibility and trial quality were assessed by one reviewer.Ten studies, most involving small numbers of participants, were included. Under standard

2000 Cochrane

117. Prophylactic versus therapeutic amnioinfusion for oligohydramnios in labour. (Abstract)

Prophylactic versus therapeutic amnioinfusion for oligohydramnios in labour. Amnioinfusion aims to relieve umbilical cord compression during labour by infusing a liquid into the uterine cavity.The objective of this review was to assess the effects of prophylactic amnioinfusion for oligohydramnios compared with therapeutic amnioinfusion only if fetal heart rate decelerations or thick meconium-staining of the liquor occur.The Cochrane Pregnancy and Childbirth Group trials register and Cochrane (...) Controlled Trials Register were searched. Date of last search: October 1997.Randomised trials comparing prophylactic with therapeutic amnioinfusion in women with oligohydramnios but not fetal heart rate deceleration in labour.The reviewer assessed trial quality and extracted data.Two studies of 285 women were included. No differences were found in the rate of caesarean section (relative risk 0.98, 95% confidence interval 0.58 to 1.66), or forceps delivery. There were no difference in Apgar scores, cord

2000 Cochrane

118. Amnioinfusion for preterm rupture of membranes. (Abstract)

Amnioinfusion for preterm rupture of membranes. Preterm rupture of membranes places a fetus at risk of cord compression and amnionitis. Amnioinfusion aims to prevent or relieve umbilical cord compression by infusing a solution into the uterine cavity.The objective of this review was to assess the effects of amnioinfusion for preterm rupture of membranes on maternal and perinatal outcomes.The Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register were (...) searched.Randomised trials of amnioinfusion compared to no amnioinfusion in women with preterm rupture of membranes.Eligibility and trial quality were assessed by the reviewer.One trial of 66 women was included. It had some methodological flaws. No significant differences between amnioinfusion and no amnioinfusion were detected for caesarean section (relative risk 0.32, 95% confidence interval 0.07 to 1.40); low Apgar scores (relative risk 0.28, 95% confidence interval 0.03 to 2.33) or neonatal death (relative

2000 Cochrane

119. Intrapartum amnioinfusion for meconium-stained fluid: meta-analysis of prospective clinical trials

Intrapartum amnioinfusion for meconium-stained fluid: meta-analysis of prospective clinical trials Intrapartum amnioinfusion for meconium-stained fluid: meta-analysis of prospective clinical trials Intrapartum amnioinfusion for meconium-stained fluid: meta-analysis of prospective clinical trials Pierce J, Gaudier F L, Sanchez-Ramos L Authors' objectives To evaluate the effectiveness of intrapartum prophylactic amnioinfusion in pregnancies complicated by meconium-stained amniotic fluid (AF (...) ). Searching MEDLINE and PubMed were searched from January 1980 to December 1998 using the search terms 'amnioinfusion' and 'meconium'. The authors also checked the references of published articles and chapters from textbooks. Any restrictions on the publication language were not stated. Abstracts were included in the analysis, whereas unpublished trials and data were not. Study selection Study designs of evaluations included in the review Prospective clinical trials were included. Specific interventions

2000 DARE.

120. Prophylactic amnioinfusion for intrapartum oligohydramnios: a meta-analysis of randomized controlled trials

Prophylactic amnioinfusion for intrapartum oligohydramnios: a meta-analysis of randomized controlled trials Prophylactic amnioinfusion for intrapartum oligohydramnios: a meta-analysis of randomized controlled trials Prophylactic amnioinfusion for intrapartum oligohydramnios: a meta-analysis of randomized controlled trials Pitt C, Sanchez-Ramos L, Kaunitz A M, Gaudier F Authors' objectives To evaluate the effectiveness of intrapartum prophylactic amnioinfusion in pregnancies complicated (...) by oligohydramnios. Searching The following sources were searched from January 1983 to December 1999: BRS online (Bibliographic Retrieval Service), MEDLINE, PubMed, Current Contents, and other databases via SilverPlatter. The MeSH terms used were 'amnioinfusion', 'oligohydramnios' and 'fetal compromise'. Bibliographies from identified studies and review articles were examined for articles published in any language. Abstracts were eligible for inclusion, whereas unpublished trials and review articles were

2000 DARE.

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