Transcervical intrapartum amnioinfusion: a simple and effective technique

European Journal of Obstetrics, Gynecology, and Reproductive Biology
D V SurbekW Holzgreve

Abstract

To test a simple method of intrapartum amnioinfusion to replace amniotic fluid during labor in cases of prolonged labor and severe variable fetal heart rate decelerations or thick meconium. We conducted a prospective study of intrapartum amnioinfusion in sixteen consecutive patients. A simple transcervically placed Foley bladder catheter was used for intrauterine infusion of saline solution, while monitoring was performed by external cardiotocography. In twelve patients, catheter placement was easily performed; the remaining four required stabilization by a mandrel for insertion. Amnioinfusion was effective in ten out of thirteen patients for relief of fetal heart rate anomalies. No complications were observed; all had good neonatal outcome. In our small, uncontrolled study, this amnioinfusion method proved to be a simple, inexpensive, effective and safe technique for the relief of severe heart rate anomalies in prolonged labor.

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Citations

Jan 17, 2014·Journal of Obstetrics and Gynaecology of India·Pushpa BhatiaSangita Nangia
May 26, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·H Abdel-AleemR A Radwan
Mar 21, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A K DasB Samanta
Sep 1, 2015·Obstetrical & Gynecological Survey·Lauren M BullensS Guid Oei

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