Role of Intrapartum Transcervical Amnioinfusion in Patients with Meconium-Stained Amniotic Fluid

Bhatia, Pradeep; Reena, Kumari; Nangia, Sangita

doi:10.1007/s13224-012-0262-5

Cited by 8 publications

(7 citation statements)

References 8 publications

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“…In a study by Bhatia et al in 2013, atonic postpartum hemorrhage occurred more often in the amnioinfusion group (8%) compared with the no amnioinfusion group (2%), though it was not statistically significant (p ¼ 0.217). 16 Our study illustrates similar findings in that amnioinfusion was not associated with increased odds of postpartum hemorrhage compared with intrauterine pressure catheter alone.…”

Section: Discussionsupporting

confidence: 86%

Intraamniotic Infection Rates after Intrauterine Pressure Catheter with and without Amnioinfusion

et al. 2020

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Objective This study aimed to examine the rates of intraamniotic infection between intrauterine pressure catheter with amnioinfusion and intrauterine pressure catheter alone. Study Design This was a retrospective cohort study of all women who had an intrauterine pressure catheter placement during labor at a tertiary referral hospital from January 2016 to June 2018. Outcomes were compared between women who had an intrauterine pressure catheter with amnioinfusion and intrauterine pressure catheter placement alone. The primary outcome was the rate of intraamniotic infection. Secondary outcomes included postpartum endometritis, postpartum hemorrhage (blood loss of ≥1,000 mL), quantitative blood loss (mL), and cesarean delivery. Multivariable logistic regression analysis was performed to calculate adjusted odds ratios (aOR) and 95% confidence interval (95% CI), controlling for age, race, body mass index, gestational age, and length of time of rupture of membranes. Results Of 1,268 women with an intrauterine pressure catheter, 298 (23.5%) also had an amnioinfusion. Women who had amnioinfusion through an intrauterine pressure catheter compared with those who had intrauterine pressure catheter alone had similar rates of intraamniotic infection (5.4 vs. 8.0%, crude p = 0.12, aOR 0.69; 95% CI 0.39–1.21), as well as secondary outcomes such as postpartum endometritis (3.0 vs. 2.5%, crude p = 0.61, aOR 1.12; 95% CI 0.49–2.53), postpartum hemorrhage (16.1 vs. 15.8%, crude p = 0.89, aOR 1.07; 95% CI 0.75–1.54), blood loss (479.5 vs. 500 mL, adjusted p = 0.89), and cesarean delivery (40.6 vs. 43.1%, crude p = 0.45, aOR 0.90; 95% CI 0.68–1.19). Conclusion Amnioinfusion was not associated with increased odds of intraamniotic infection compared with intrauterine pressure catheter placement alone. Key Points

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Section: Discussionsupporting

confidence: 86%

Intraamniotic Infection Rates after Intrauterine Pressure Catheter with and without Amnioinfusion

et al. 2020

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“…24 In the present study the incidence of maternal pyrexia in the amnioinfusion group showed a non-significant decrease. While Bhatia et al 12 reported maternal pyrexia did not occur in the amnioinfusion group, but in control group, 6% cases had pyrexia.…”

Section: Discussionmentioning

confidence: 84%

“…[11][12][13][14][15][16] The present study was designed to test the hypothesis that amnioinfusion can reduce the incidence of caesarean deliveries and perinatal morbidity associated with meconium stained amniotic fluid.…”

Section: Introductionmentioning

confidence: 99%

Utility of amnioinfusion in deliveries complicated by meconium stained liquor: a randomized controlled trial

Elsersy

2016

Int J Reprod Contracept Obstet Gynecol

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Background: Meconium stained amniotic fluid could be seen in 12-16 % of deliveries. Meconium is toxic to the newborn lung. Its presence during labour increases the risk to develop neonatal respiratory distress by about 100 times more. Meconium aspiration syndrome (MAS) occurs in about 5% of deliveries with meconium-stained amniotic fluid and death occurs in about 12% of infants with MAS. Intrapartum amnioinfusion was described as a way to dilute meconium or act as a mechanical cushioning of the umbilical cord to prevent its compression .The aim of this study is to perform a randomized controlled clinical trial to test the hypothesis that amnioinfusion can reduce the incidence of caesarean deliveries and perinatal morbidity associated with meconium stained amniotic fluid.Methods: An interventional randomized study was conducted in Hai Jamaa hospital. 360 patients were enrolled in the study. The patients were in labour with meconium stained liquor above 37 weeks. They were randomly allocated in two groups. Group 1: amnioinfusion group and Group 2: non amnioinfusion group.Results: Significant reduction of cesarean section rate due to fetal distress. Also significant reduction of prevalence of variable fetal heart rate decelerations, and significant reduction of incidence of MAS in patients received amnioinfusion.Conclusions: Amnioinfusion is an easy, safe and inexpensive procedure useful in patients with meconium stained liquor.

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“…Also, Butt & Ahmed (18) reported that transabdominal AI is a useful procedure to reduce complications that result from oligohydramnios as AI increases the latency period, and may result in better perinatal outcome by improving birth weight. Thereafter, Bansal et al (19) found the CS rate due to fetal distress was significantly lower in women of received AI than in controls (20% vs. 40.0 %) and Bhatia et al (20) documented that intrapartum transcervical AI is valuable in patients with MSAF as it significantly increased the chance for having VD with significant reduction of frequency of development of MAS (6% vs. 20%).…”

Section: Results:-mentioning

confidence: 99%

“…Moreover, Bansal et al (19) detected significantly lower frequency of respiratory distress of neonate of women received AI than in control group (4% vs. 12 %). Bhatia et al (20) documented that AI is valuable in patients with MSAF as it provided significant relief from variable decelerations in 68.18% vs. 7.1% in control group, significantly increased the chance for having VD with significant reduction of frequency of development of MAS 6% vs. 20 % in control group. Moreover, multiple literature reviews concluded that AI is associated with substantive improvements in perinatal outcome especially in settings where facilities for perinatal surveillance are limited (12,21) .…”

Section: Results:-mentioning

confidence: 99%

Intrapartum Trans-Cervical Amnioinfusion as Adjuvant to Conventional Management of Women Had Ruptured Membranes With Thick Meconium-Stained Amniotic Fluid.

Sherbeny¹,

B²

2017

IJAR

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Role of Intrapartum Transcervical Amnioinfusion in Patients with Meconium-Stained Amniotic Fluid

Abstract: Intrapartum transcervical amnioinfusion is valuable in patients with meconium-stained amniotic fluid.

Cited by 8 publications

References 8 publications

Intraamniotic Infection Rates after Intrauterine Pressure Catheter with and without Amnioinfusion

Intraamniotic Infection Rates after Intrauterine Pressure Catheter with and without Amnioinfusion

Utility of amnioinfusion in deliveries complicated by meconium stained liquor: a randomized controlled trial

Intrapartum Trans-Cervical Amnioinfusion as Adjuvant to Conventional Management of Women Had Ruptured Membranes With Thick Meconium-Stained Amniotic Fluid.

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