Pushpa Bhatia1, Kumari Reena2, Sangita Nangia2. 1. Department of Obstetrics and Gynecology, ESI-PGIMSR, New Delhi, India ; 138, DDA Flats, (SFS), Pocket B, Mount Kailash, East of Kailash, New Delhi, 110065 India ; Department of Obstetrics and Gynecology, Kasturba Hospital, New Delhi, India. 2. Department of Obstetrics and Gynecology, Kasturba Hospital, New Delhi, India.
Abstract
OBJECTIVES: The study was undertaken to evaluate maternal, perinatal outcomes following transcervical intrapartum amnioinfusion in women with meconium-stained amniotic fluid. METHODS: A prospective comparative study was conducted on 100 women with meconium-stained amniotic fluid in labor. Group A: study group (50 cases) received amnioinfusion. Group B: control group (50 cases) did not receive amnioinfusion. FHR monitoring was done using cardiotocography. RESULTS: Significant relief from variable decelerations was seen in 68.18 % cases in the amnioinfusion group as compared to 7.1 % cases in the control group. 78 % cases who were given amnioinfusion had vaginal delivery as compared to 18 % cases in the control group. Fourteen percent cases in the study group had cesarean delivery as compared to 68 % cases in the control group. Meconium aspiration syndrome was seen in six percent neonates in the study group as compared to 20 % in the control group. Two neonates died in the control group due to meconium aspiration syndrome. There was no maternal mortality or major maternal complication. CONCLUSIONS: Intrapartum transcervical amnioinfusion is valuable in patients with meconium-stained amniotic fluid.
OBJECTIVES: The study was undertaken to evaluate maternal, perinatal outcomes following transcervical intrapartum amnioinfusion in women with meconium-stained amniotic fluid. METHODS: A prospective comparative study was conducted on 100 women with meconium-stained amniotic fluid in labor. Group A: study group (50 cases) received amnioinfusion. Group B: control group (50 cases) did not receive amnioinfusion. FHR monitoring was done using cardiotocography. RESULTS: Significant relief from variable decelerations was seen in 68.18 % cases in the amnioinfusion group as compared to 7.1 % cases in the control group. 78 % cases who were given amnioinfusion had vaginal delivery as compared to 18 % cases in the control group. Fourteen percent cases in the study group had cesarean delivery as compared to 68 % cases in the control group. Meconium aspiration syndrome was seen in six percent neonates in the study group as compared to 20 % in the control group. Two neonates died in the control group due to meconium aspiration syndrome. There was no maternal mortality or major maternal complication. CONCLUSIONS: Intrapartum transcervical amnioinfusion is valuable in patients with meconium-stained amniotic fluid.
Authors: A Puertas; M Paz Carrillo; L Moltó; M Alvarez; S Sedeño; J A Miranda Journal: Eur J Obstet Gynecol Reprod Biol Date: 2001-11 Impact factor: 2.435
Authors: William D Fraser; Justus Hofmeyr; Roberto Lede; Gilles Faron; Sophie Alexander; François Goffinet; Arne Ohlsson; Céline Goulet; Lucile Turcot-Lemay; Walter Prendiville; Sylvie Marcoux; Louise Laperrière; Chantal Roy; Stavros Petrou; Hai-Rong Xu; Bin Wei Journal: N Engl J Med Date: 2005-09-01 Impact factor: 91.245