Amnioinfusion for potential or suspected umbilical cord compression in labour

Therapeutic amnioinfusion for intrapartum fetal distress using a pediatric feeding tube

“…A systematic review addressing amnioinfusion for umbilical cord compression during labor [6] showed that trancervical amnioinfusion for potential or suspected umbilical cord compression was associated with the following reductions: FHR decelerations (RR, 0.54; 95% CI, 0.43-0.68); rate of cesarean section for suspected fetal distress (RR, 0.35; 95% CI, 0.24-0.52); neonatal hospital stay longer than 3 days (RR, 0.40; 95% CI, 0.26-0.62); and maternal hospital stay longer than 3 days (RR, 0.46; 95% CI, 0.29-0.74). These findings are in agreement with the present study.…”

“…Several trials and systematic reviews have shown that therapeutic amnioinfusion is effective in reducing fetal heart rate (FHR) deceleration and therefore rates of cesarean section in suspected cases of cord compression, oligohydramnios, and meconium-stained amniotic fluid [3][4][5][6].…”

Pratiques obstétricales associées aux anomalies du rythme cardiaque fœtal (RCF) pendant le travail et mesures correctives à employer en cas d’anomalies du RCF pendant le travail

“…Plusieurs essais randomisés ont comparé le pronostic obstétrical et néonatal suivant la pratique systé-matique ou non d'une amnio-infusion en cours de travail dans un contexte d'oligoamnios et de rythme cardiaque foetal initialement jugé comme étant normal. Ces diffé-rents essais ont été compilés dans deux méta-analyses distinctes mais qui reprenaient pratiquement les mêmes études [31,32]. Les deux méta-analyses ont sélectionné quatorze et douze essais correspondant à l'inclusion de 1533 et 1170 patientes respectivement.…”

Intrapartum fetal monitoring

“…10.7) hospital stay >3 days, CD for suspected NRFHR, and overall CD, compared with no amnioinfusion (31). Postpartum endometritis is decreased, too.…”