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Amnioinfusion

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121. Recent evidence associated with the condition of preterm prelabour rupture of the membranes. (PubMed)

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

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

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

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

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

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2004 Ultrasound in Obstetrics and Gynecology

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

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

125. A randomized clinical trial of the intrapartum assessment of amniotic fluid volume: amniotic fluid index versus the single deepest pocket technique. (PubMed)

index was obtained in 499 pregnancies, and the 2 x 1 technique was performed in 501. Oligohydramnios was diagnosed in 25% of amniotic fluid index pregnancies versus 8% with the use of the 2 x 1 pocket technique (P <.001). Both techniques failed to identify patients who underwent an amnioinfusion for fetal distress (P=.864) or who experienced variable (P=.208) or late decelerations (P=.210) that influenced delivery, fetal distress in labor (P=.220), caesarean delivery for fetal distress (P=.133

2004 American journal of obstetrics and gynecology Controlled trial quality: uncertain

126. Diagnosis and management of abdominal pregnancy. A case report. (PubMed)

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

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

; 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

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

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

129. Systematic review of the risk of uterine rupture with the use of amnioinfusion after previous cesarean delivery

Systematic review of the risk of uterine rupture with the use of amnioinfusion after previous cesarean delivery Systematic review of the risk of uterine rupture with the use of amnioinfusion after previous cesarean delivery Systematic review of the risk of uterine rupture with the use of amnioinfusion after previous cesarean delivery Hicks P CRD summary This review assessed the risk of uterine rupture with amnioinfusion in women with a previous Caesarean section. The author concluded (...) , Cochrane Controlled Trials Register and DARE; inception to Issue 3, 2001) were searched for studies published in any language; the keywords were reported. The reference lists of included studies were screened. Study selection Study designs of evaluations included in the review Reviews were excluded but studies of any other design that presented original data were included. Specific interventions included in the review Studies of transcervical amnioinfusion were eligible for inclusion. The included

2005 DARE.

130. 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.

131. 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.

132. Amnioinfusion for meconium-stained liquor in labour. (PubMed)

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 (October 2001) and the Cochrane Controlled Trials Register (Issue 3, 2001) 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.Twelve studies, most involving small numbers of participants

2002 Cochrane

133. 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.

134. Pumps and warmers during amnioinfusion: is either necessary?

Pumps and warmers during amnioinfusion: is either necessary? Pumps and warmers during amnioinfusion: is either necessary? Pumps and warmers during amnioinfusion: is either necessary? Glantz J C, Letteney D L Authors' objectives To determine whether infusion pumps or solution warmers are associated with improved maternal or neonatal outcome during amnioinfusion. Searching MEDLINE was searched from 1983 (the earliest year in which trials of amnioinfusion in humans were reported) to 1994 (...) , and the references of published articles were examined. Study selection Study designs of evaluations included in the review Prospective studies with a control group (randomised and non-randomised trials) were included. Specific interventions included in the review The use of infusion pumps or solution warmers during amnioinfusion. Participants included in the review Pregnant women were included. Outcomes assessed in the review Maternal and neonatal outcomes: Caesarean delivery, foetal distress, presence

1996 DARE.

135. 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.

136. The effect of amnioinfusion on the duration of labor

The effect of amnioinfusion on the duration of labor The effect of amnioinfusion on the duration of labor The effect of amnioinfusion on the duration of labor Strong T H Authors' objectives To test the hypothesis that women receiving intrapartum amniotransfusion have more rapid labours than do controls, and to determine if amniotransfusion affects the duration of labour. Searching MEDLINE was searched for trials published in three major American obstetric and gynaecologic journals. A manual (...) the interval from membrane rupture to delivery (283 infusions, 241 control patients), whilst eight studies evaluated the length of labour (382 transfusions, 349 control patients). No study demonstrated a statistically significant shortening of the amniorrhexis to delivery interval or the overall duration of labour. The meta-analysis revealed no difference in the interval from membrane rupture to delivery (p=0.23) or the total length of labour (p=0.35). Authors' conclusions Amnioinfusion has no effect

1997 DARE.

137. 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

138. Amnioinfusion for the prevention of the meconium aspiration syndrome. (PubMed)

Amnioinfusion for the prevention of the meconium aspiration syndrome. It is uncertain whether amnioinfusion (infusion of saline into the amniotic cavity) in women who have thick meconium staining of the amniotic fluid reduces the risk of perinatal death, moderate or severe meconium aspiration syndrome, or both.We performed a multicenter trial in which 1998 pregnant women in labor at 36 or more weeks of gestation who had thick meconium staining of the amniotic fluid were stratified according (...) to the presence or absence of variable decelerations in fetal heart rate and then randomly assigned to amnioinfusion or to standard care. The composite primary outcome measure was perinatal death, moderate or severe meconium aspiration syndrome, or both.Perinatal death, moderate or severe meconium aspiration syndrome, or both occurred in 44 infants (4.5 percent) of women in the amnioinfusion group and 35 infants (3.5 percent) of women in the control group (relative risk, 1.26; 95 percent confidence interval

2005 NEJM Controlled trial quality: predicted high

139. Effect of Amnioinfusion on External Cephalic Version Successful Rate

Effect of Amnioinfusion on External Cephalic Version Successful Rate Effect of Amnioinfusion on External Cephalic Version Successful Rate - 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. Effect (...) of Amnioinfusion on External Cephalic Version Successful Rate (AMNIO) 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: NCT00465712 Recruitment Status : Terminated First Posted : April 25, 2007 Last Update Posted : June 1, 2011 Sponsor: University Hospital, Tours Information provided by: University Hospital, Tours

2007 Clinical Trials

140. Systematic review of the risk of uterine rupture with the use of amnioinfusion after previous cesarean delivery. (PubMed)

Systematic review of the risk of uterine rupture with the use of amnioinfusion after previous cesarean delivery. Amnioinfusion is commonly used for the intrapartum treatment of women with pregnancy complicated by thick meconium or oligohydramnios with deep variable fetal heart rate decelerations. Its benefit in women with previous cesarean deliveries is less known. Theoretically, rapid increases in intrauterine volume would lead to a higher risk of uterine rupture.Searches of the Cochrane (...) Library from inception to the third quarter of 2001 and MEDLINE, 1966 to November 2001, were performed by using keywords "cesarean" and "amnioinfusion." Search terms were expanded to maximize results. All languages were included. Review articles, editorials, and data previously published in other sites were not analyzed.Four studies were retrieved having unduplicated data describing amnioinfusion in women who were attempting a trial of labor after previous cesarean section. As the studies were

2005 Southern medical journal

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