Is it safe to perform amnioinfusion in the presence of suspected intraamniotic infection?

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Raanan MeyerGabriel Levin

Abstract

To study the effect of amnioinfusion in the presence of suspected intra-amniotic infections (SII) on maternal outcomes among women delivering at term. A retrospective cohort study was conducted at a tertiary medical center. All consecutive singleton term deliveries with SII during 2011-2019 were included. Cases where amnioinfusion was performed after the diagnosis of SII were compared to cases without amnioinfusion, matched by cervical dilation at diagnosis of SII. Maternal and obstetric adverse outcomes were compared. After matching for cervical dilation at diagnosis of SII, the study cohort included 786 women: 62 (7.9%) women in the amnioinfusion group and 724 (92.1%) in the control group. A composite of adverse maternal outcomes occurred in 106 (13.5%) deliveries. There were no significant differences in the rates of maternal adverse outcomes between the amnioinfusion and control groups (11.0% vs 13.7%, respectively; P=0.59), including postpartum endometritis (5.0% vs 3.3%, respectively; P=0.46) and febrile morbidity (10.0% vs 6.5%, respectively; P=0.42). Neonatal blood gas outcomes and Apgar scores did not differ between groups. The use of amnioinfusion for alleviating non-reassuring fetal heart rate in the presence of SII ...Continue Reading

References

Jul 1, 1992·American Journal of Obstetrics and Gynecology·C J MacriR H Paul
May 1, 1990·American Journal of Obstetrics and Gynecology·J OwenJ C Hauth
Jul 15, 1983·American Journal of Obstetrics and Gynecology·F S Miyazaki, N A Taylor
Dec 1, 1982·American Journal of Obstetrics and Gynecology·M W Carpenter, D R Coustan
Oct 1, 1995·Obstetrics and Gynecology·K WenstromJ E Maher
Feb 1, 1995·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·V AusinaJ Roca
May 20, 1999·American Journal of Perinatology·B V Parilla, T M McDermott
Aug 6, 2004·American Journal of Obstetrics and Gynecology·Dwight J RouseUNKNOWN National Institute of Child Health And Human Development, Maternal-Fetal Medicine Units Network
Oct 3, 2006·Obstetrics and Gynecology·UNKNOWN ACOG Committee Obstetric Practice
Apr 9, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A Cristina Rossi, Federico Prefumo
Feb 21, 2014·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists, UNKNOWN Society for Maternal-Fetal Medicine
Mar 13, 2014·Current Opinion in Obstetrics & Gynecology·Zoltan KozinszkyNorbert Pásztor
Oct 3, 2015·American Journal of Obstetrics and Gynecology·Chong Jai KimYeon Mee Kim
Jul 26, 2017·Obstetrics and Gynecology·UNKNOWN Committee on Obstetric Practice
Jan 18, 2018·American Journal of Perinatology·Munmun RawatSatyan Lakshminrusimha
Apr 4, 2018·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Vanesa Rodríguez FernándezEmilio Couceiro Naveira
Sep 27, 2018·Therapeutics and Clinical Risk Management·Carlo BouchèGiuseppe Ricci
Nov 30, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·K K VenkateshD M Stamilio

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