PMID: 9166309May 1, 1997Paper

Amniotic fluid distribution in predicting perinatal outcome in patients with ruptured membranes

Obstetrics and Gynecology
T D Myles, H T Strassner

Abstract

To determine if amniotic fluid distribution predicts perinatal outcome in women with spontaneously ruptured membranes. Patients presenting for labor and delivery with spontaneously ruptured membranes had amniotic fluid indices determined upon admission. Those with greater than 50% of their amniotic fluid in the upper quadrants were placed in the upper-greater group and those with greater than 50% in the lower quadrants were placed in the lower-greater group. The groups were compared with respect to meconium staining, 1- or 5-minute Apgar scores below 7, persistent variable or late decelerations, umbilical arterial or venous pH below 7.20, cesarean for non-reassuring fetal heart rate monitoring, and neonatal intensive care unit admissions. One hundred women were studied, 60 in the upper-greater group and 40 in the lower-greater group. Significant differences between upper-greater and lower-greater distributions were noted in meconium staining (28.3% compared with 0%, P < .001), 1-minute Apgar score below 7 (16.7% compared with 2.5%, P < .027), variable decelerations (63.3% compared with 25.0%, P < .001), late decelerations (23.3% compared with 0%, P < .001), and cesarean for non-reassuring fetal heart tracing (11.6% compared wit...Continue Reading

References

Jan 1, 1992·American Journal of Obstetrics and Gynecology·S C RobsonA Lee
Apr 1, 1991·American Journal of Obstetrics and Gynecology·A P Sarno
May 1, 1990·American Journal of Obstetrics and Gynecology·T R Moore, J E Cayle
Mar 1, 1990·American Journal of Obstetrics and Gynecology·A P SarnoR H Paul
Jan 1, 1988·American Journal of Obstetrics and Gynecology·I IngemarssonS S Ratnam

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Citations

Apr 5, 2003·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·K M KundaviL Seshadri
Aug 29, 1998·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·K BucksheeN Bhatla
Oct 22, 2003·Archives of Medical Research·Rita Esther Zapata-VázquezManuel Echeverría-Eguíluz

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