Amnioinfusion for meconium-stained liquor in labour

Intrapartum Amnioinfusion in Meconium Stained Amniotic Fluid: An Update

“…The authors concluded that the trials reviewed are too small to address the possibility of rare but serious maternal adverse effects of amnioinfusion. 17 We conclude that a carefully performed amnioinfusion is a cheap, feasible and good alternative in low resource settings where facilities for electronic fetal monitoring are not available. It is associated with improvement in perinatal outcome as judged by improved apgar scores and decrease in perinatal mortality.…”

Intrapartum Amnioinfusion in Meconium Stained Amniotic Fluid: An Update

“…The authors concluded that the trials reviewed are too small to address the possibility of rare but serious maternal adverse effects of amnioinfusion. 17 We conclude that a carefully performed amnioinfusion is a cheap, feasible and good alternative in low resource settings where facilities for electronic fetal monitoring are not available. It is associated with improvement in perinatal outcome as judged by improved apgar scores and decrease in perinatal mortality.…”

Reducing stillbirths: interventions during labour

“…The procedure is often performed in an effort to prevent or relieve umbilical cord compression during labour associated with low amniotic fluid volume (oligohydramnios); the infusion of fluid also dilutes meconium detected in the amniotic fluid. Dilution of meconium is thought to minimize the risk of meconium aspiration, as thick meconium in cases of oligohydramnios is associated with significant perinatal mortality and morbidity [ 124 ]. Amnioinfusion may impact fetal survival via one or both of these mechanisms and the two can be difficult to differentiate.…”

“…A second Cochrane review by Hofmeyr [ 124 ] evaluated RCTs (12 small trials) comparing amnioinfusion with no amnioinfusion for women in labour under either normal or limited perinatal surveillance with moderate or thick meconium staining of the amniotic fluid (Additional file 26 ). Amnioinfusion was associated with significant reductions in heavy meconium staining of the amniotic fluid (RR = 0.03, 95% CI: 0.01–0.15) and variable fetal heart rate deceleration (RR = 0.65, 95% CI: 0.49–0.88).…”

Intrapartum amnioinfusion in meconium stained amniotic fluid at term pregnancy

“…Mahomed reported no complication related to Amnioinfusion procedure. 12 Pueperal pyrexia seen in only 11 patients (4.36%) out of 252 patients. The decrease in incidence of pueperal pyrexia probably due to dilutional effect on bacteria that enter the uterus.…”

Intrapartum Amnioinfusion in Meconium Stained Amniotic Fluid: An Update

“…The authors concluded that the trials reviewed are too small to address the possibility of rare but serious maternal adverse effects of amnioinfusion. 17 We conclude that a carefully performed amnioinfusion is a cheap, feasible and good alternative in low resource settings where facilities for electronic fetal monitoring are not available. It is associated with improvement in perinatal outcome as judged by improved apgar scores and decrease in perinatal mortality.…”

Reducing stillbirths: interventions during labour

“…The procedure is often performed in an effort to prevent or relieve umbilical cord compression during labour associated with low amniotic fluid volume (oligohydramnios); the infusion of fluid also dilutes meconium detected in the amniotic fluid. Dilution of meconium is thought to minimize the risk of meconium aspiration, as thick meconium in cases of oligohydramnios is associated with significant perinatal mortality and morbidity [ 124 ]. Amnioinfusion may impact fetal survival via one or both of these mechanisms and the two can be difficult to differentiate.…”

“…A second Cochrane review by Hofmeyr [ 124 ] evaluated RCTs (12 small trials) comparing amnioinfusion with no amnioinfusion for women in labour under either normal or limited perinatal surveillance with moderate or thick meconium staining of the amniotic fluid (Additional file 26 ). Amnioinfusion was associated with significant reductions in heavy meconium staining of the amniotic fluid (RR = 0.03, 95% CI: 0.01–0.15) and variable fetal heart rate deceleration (RR = 0.65, 95% CI: 0.49–0.88).…”

Intrapartum amnioinfusion in meconium stained amniotic fluid at term pregnancy

“…Mahomed reported no complication related to Amnioinfusion procedure. 12 Pueperal pyrexia seen in only 11 patients (4.36%) out of 252 patients. The decrease in incidence of pueperal pyrexia probably due to dilutional effect on bacteria that enter the uterus.…”

Intrapartum Amnioinfusion in Meconium Stained Amniotic Fluid: An Update

“…The authors concluded that the trials reviewed are too small to address the possibility of rare but serious maternal adverse effects of amnioinfusion. 17 We conclude that a carefully performed amnioinfusion is a cheap, feasible and good alternative in low resource settings where facilities for electronic fetal monitoring are not available. It is associated with improvement in perinatal outcome as judged by improved apgar scores and decrease in perinatal mortality.…”

Reducing stillbirths: interventions during labour

“…The procedure is often performed in an effort to prevent or relieve umbilical cord compression during labour associated with low amniotic fluid volume (oligohydramnios); the infusion of fluid also dilutes meconium detected in the amniotic fluid. Dilution of meconium is thought to minimize the risk of meconium aspiration, as thick meconium in cases of oligohydramnios is associated with significant perinatal mortality and morbidity [ 124 ]. Amnioinfusion may impact fetal survival via one or both of these mechanisms and the two can be difficult to differentiate.…”

“…A second Cochrane review by Hofmeyr [ 124 ] evaluated RCTs (12 small trials) comparing amnioinfusion with no amnioinfusion for women in labour under either normal or limited perinatal surveillance with moderate or thick meconium staining of the amniotic fluid (Additional file 26 ). Amnioinfusion was associated with significant reductions in heavy meconium staining of the amniotic fluid (RR = 0.03, 95% CI: 0.01–0.15) and variable fetal heart rate deceleration (RR = 0.65, 95% CI: 0.49–0.88).…”

Intrapartum amnioinfusion in meconium stained amniotic fluid at term pregnancy

“…Mahomed reported no complication related to Amnioinfusion procedure. 12 Pueperal pyrexia seen in only 11 patients (4.36%) out of 252 patients. The decrease in incidence of pueperal pyrexia probably due to dilutional effect on bacteria that enter the uterus.…”