Transabdominal amnioinfusion for the management of nonlaboring postdates with severe oligohydramnios.
A retrospective study compared two comparable consecutive groups of nonlaboring primiparas beyond 41 weeks with severe oligohydromanios (no amniotic pocket more than 2 cm deep). Transabdominal amnioinfusions were not done in the historical control group (n = 14) but were done in the second group (n = 11). Fetal heart rate patterns and neonatal outcome were better in the group with amnioinfusion than in controls, and the rate of cesarean delivery was significantly lower (18 vs. 93%, p < 0.001). These results suggest that prepartum transabdominal amnioinfusion may have obstetrical and perinatal benefits for nonlaboring postdates with oligohydramnios, especially when the cervix is unripe.
Mandelbrot
L
L
Port Royal University Clinic of Obstetrics and Gynecology, Paris, France.
Verspyck
E
E
Dommergues
M
M
Bréart
G
G
Dumez
Y
Y
D000005:Abdomen; D000650:Amnion; D015232:Dinoprostone / Q000627:therapeutic use; D005260:Female; D006340:Heart Rate, Fetal; D006801:Humans; D007751:Labor, Induced; D016104:Oligohydramnios / Q000150:complications / Q000628:therapy*; D010121:Oxytocin / Q000627:therapeutic use; D011247:Pregnancy; D011256:Pregnancy Outcome; D011273:Pregnancy, Prolonged; D012189:Retrospective Studies; D012965:Sodium Chloride / Q000008:administration & dosage*
D012965:Sodium Chloride; D010121:Oxytocin; D015232:Dinoprostone