Amnioinfusion in term labor with low amniotic fluid due to rupture of membranes: a new indication

Mino, Masahiro; Puertas, Alberto; Miranda, José; Herruzo, A

doi:10.1016/s0301-2115(98)00176-6

Cited by 19 publications

(3 citation statements)

References 12 publications

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“…Amnioinfusion has been shown to reduce the incidence of variable fetal heart decelerations, but not late decelerations or reduced variability. [21][22][23]…”

Section: Improving Funic Blood Flowmentioning

confidence: 99%

Study of early perinatal outcome in lower segment caesarean section in severe foetal distress at tertiary care centre

Jadhav

Tirankar

Gavandi

2020

Int J Reprod Contracept Obstet Gynecol

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Background: For asphyxia, the fetus reacts with a series of responses. First there is redistribution of blood flow to vital centres to limit the deleterious effects of oxygen limitation in the brain, heart and adrenal glands. A further compensatory response is that overall fetal oxygen consumption declines to values as low as 50% of the control.Methods: This was a prospective study. Early perinatal outcome of newborns delivered through Caesarean section due to clinical foetal distress in labour was compared with a group of newborns similarly delivered via Caesarean section without a diagnosis of clinical foetal distress. Data collected and analysed using appropriate standard statistical methods i.e. Chi-square (X2) test and ‘Z’ - test.Results: Most common indication for NICU admission in study group was MAS (Meconium Aspiration Syndrome 14%) followed by MAS with perinatal asphyxia (5.33%), MAS with Hypoxic ischaemic encephalopathy (HIE) - stage III (3.33%) paerintal asphyxia (2.66%), severe PNA with HIE - III (0.66%) and TTN (0.66%) meconium gastritis (0.66%) respectively.Conclusions: Clinical foetal distress (study group) was found to be significantly associated with low 1 min and 5 min. Apgar score. There was no significant difference in immediate NICU admission whether D-D (i.e. detection fetal detection to delivery interval) time interval <30 minutes or >30 minutes. But rate of mortality was high when D-D (i.e. detection fetal detection to delivery interval) was >30 minutes.

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“…Amnioinfusion has been shown to reduce the incidence of variable fetal heart decelerations, but not late decelerations or reduced variability. [21][22][23]…”

Section: Improving Funic Blood Flowmentioning

confidence: 99%

Study of early perinatal outcome in lower segment caesarean section in severe foetal distress at tertiary care centre

Jadhav

Tirankar

Gavandi

2020

Int J Reprod Contracept Obstet Gynecol

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“…In a randomized prospective study by Mino et al . [19] 200 term pregnancies with low amniotic fluid due to vaginal loss were randomly studied, with amniotic infusion and without amniotic infusion, and it was found that amnioinfusion improved the foetal heart rate pattern, lowered operative delivery and improved neonatal acid base status.…”

Section: Amnioinfusionmentioning

confidence: 99%

Management of foetal asphyxia by intrauterine foetal resuscitation

Velayudhareddy

Kirankumar

2010

Indian J Anaesth

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Management of foetal distress is a subject of gynaecological interest, but an anaesthesiologist should know about resuscitation, because he should be able to treat the patient, whenever he is directly involved in managing the parturient patient during labour analgesia and before an emergency operative delivery. Progressive asphyxia is known as foetal distress; the foetus does not breathe directly from the atmosphere, but depends on maternal circulation for its oxygen requirement. The oxygen delivery to the foetus depends on the placental (maternal side), placental transfer and foetal circulation. Oxygen transport to the foetus is reduced physiologically during uterine contractions in labour. Significant impairment of oxygen transport to the foetus, either temporary or permanent may cause foetal distress, resulting in progressive hypoxia and acidosis. Intrauterine foetal resuscitation comprises of applying measures to a mother in active labour, with the intention of improving oxygen delivery to the distressed foetus to the base line, if the placenta is functioning normally. These measures include left lateral recumbent position, high flow oxygen administration, tocolysis to reduce uterine contractions, rapid intravenous fluid administration, vasopressors for correction of maternal hypotension and amnioinfusion for improving uterine blood flow. Intrauterine Foetal Resuscitation measures are easy to perform and do not require extensive resources, but the results are encouraging in improving the foetal well-being. The anaesthesiologist plays a major role in the application of intrauterine foetal resuscitation measures.

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“…Amnioinfusion appears to be safe for women who are attempting a vaginal birth after a previous cesarean birth 46 . Amnioinfusion has been found to significantly resolve FHR patterns characterized by variable decelerations, but does not affect late decelerations or FHR patterns with minimal to absent variability 47–49 . Careful monitoring and documentation of fluid infused is important to avoid iatrogenic polyhydramnios.…”

Section: Intrauterine Resuscitation Techniquesmentioning

confidence: 99%

Intrauterine Resuscitation During Labor: Review of Current Methods and Supportive Evidence

Simpson

2007

J Midwife Womens Health

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When the fetal heart rate pattern is suggestive of fetal compromise during labor, various methods to promote fetal well-being are traditionally initiated. They include maternal repositioning, reduction of uterine activity, an intravenous fluid bolus, oxygen administration, correction of maternal hypotension, amnioinfusion, and alteration of second-stage labor pushing efforts. Although these intrauterine resuscitation techniques are commonly used, and in some cases considered standard care, supportive data could be more robust. Nevertheless, there is enough evidence to suggest they are beneficial to the fetus and there is minimal risk of harm when used with clinical common sense. Until more data are available, it seems reasonable to err on the side of fetal safety by using these techniques when appropriate, based on the specific fetal heart rate pattern.

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Amnioinfusion in term labor with low amniotic fluid due to rupture of membranes: a new indication

Cited by 19 publications

References 12 publications

Study of early perinatal outcome in lower segment caesarean section in severe foetal distress at tertiary care centre

Study of early perinatal outcome in lower segment caesarean section in severe foetal distress at tertiary care centre

Management of foetal asphyxia by intrauterine foetal resuscitation

Intrauterine Resuscitation During Labor: Review of Current Methods and Supportive Evidence

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