Intrauterine pressure in acute iatrogenic hydramnios.
Amnioinfusion has become a common intrapartum procedure for the relief of cord compression. We report a case of acutely increased intrauterine pressure during amnioinfusion with maternal but not fetal distress. An important decrease in pressure and symptomatology occurred with withdrawal of only a small amount of fluid. Further study is needed of pressure-volume relationships in the uterus and effects on uteroplacental perfusion. Careful attention must be paid to infusion volumes and intrauterine pressure during amnioinfusion.
Department of Obstetrics and Gynecology, University of Washington, Seattle.
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T
Sorensen
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J
Sobeck
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T
Benedetti
D000328:Adult; D000650:Amnion / Q000601:surgery*; D000653:Amniotic Fluid; D002404:Catheterization; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000009:adverse effects*; D006831:Polyhydramnios / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011225:Pre-Eclampsia / Q000628:therapy*; D011247:Pregnancy; D011312:Pressure; D012965:Sodium Chloride / Q000008:administration & dosage*; D014463:Ultrasonography
D012965:Sodium Chloride