Simultaneous use of intrapartum fetal pulse oximetry and amnioinfusion in meconium stained amniotic fluid.
OBJECTIVE
Fetal pulse oximetry is a minimally invasive, simple technique which continuously helps to reflect in utero well-being. The presence of meconium in the amniotic fluid may be a clinical sign of fetal hypoxaemia. Amnioinfusion has a beneficial effect on the incidence of meconium aspiration syndrome (MAS), and the presence of meconium below the level of the vocal cords.


METHODS
We studied the impact of amnioinfusion combined with fetal pulse oximetry on the incidence of meconium aspiration syndrome and operative delivery.


RESULTS
The retrospective analysis revealed that the presence of meconium below the level of vocal cords was significantly reduced. The frequency of cesarean section is decreased, however, it did not reach statistical significance.


CONCLUSIONS
Fetal pulse oximetry may be used in combination with amnioinfusion and cardiotocography (CTG) to reduce the risk of meconium aspiration syndrome and the number of instrumental deliveries and improve perinatal outcome.
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Pécs, Edesanyák u 17, H-7624 Pécs, Hungary. miklos.vizer@aok.pte.hu
László
L
Halvax
István
I
Szabó
Miklós
M
Vizer
Tamás
T
Csermely
Tibor
T
Ertl
D000293:Adolescent; D000328:Adult; D000653:Amniotic Fluid; D015148:Cardiotocography; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008470:Meconium; D008471:Meconium Aspiration Syndrome / Q000517:prevention & control; D010092:Oximetry / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D013997:Time Factors