Meconium-stained amniotic fluid in labor: a randomized trial of prophylactic amniofusion

European Journal of Obstetrics, Gynecology, and Reproductive Biology
A PuertasJ A Miranda

Abstract

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.

References

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Citations

Feb 22, 2002·Prenatal Diagnosis
Sep 4, 2004·Indian Journal of Pediatrics·Mini SoodM M A Faridi
Aug 18, 2009·Archives of Gynecology and Obstetrics·Deepti ChoudharyS M Ali
Jan 17, 2014·Journal of Obstetrics and Gynaecology of India·Pushpa BhatiaSangita Nangia
Mar 24, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·H XuW D Fraser
Jan 24, 2014·The Cochrane Database of Systematic Reviews·G Justus HofmeyrAhizechukwu C Eke

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