title: Prophylactic transcervical amnioinfusion in laboring women with oligohydramnios.
abstract: OBJECTIVE
  Evaluation of prophylactic intrapartum amnioinfusion in women with oligohydramnios.
  
  
  METHODS
  Assiut University Hospital during the period from February 2000 to September 2001, 160 laboring women with oligohydramnios [amniotic fluid index (AFI) </=5 cm] were randomized into: amnioinfusion and control groups. Inclusion criteria were: term singleton gestation, vertex presentation, cervical dilatation <4 cm, and assuring fetal heart rate (FHR). Trans-cervical amnioinfusion was done with warmed normal saline.
  
  
  RESULTS
  there was a significant increase in AFI after amnioinfusion (P<0.001). The amnioinfusion group showed lower cesarean section rate for fetal distress (P=0.003), lower incidence of abnormal FHR (P=0.006), fewer neonates with Apgar score <7 at 1 min (P<0.001), and 5 min (P=0.009), meconium below vocal cords (P<0.001), umbilical arterial pH<7.1 (P=0.003), and significantly shorter hospital stay (P=0.02).
  
  
  CONCLUSIONS
  Prophylactic trans-cervical amnioinfusion is a simple, safe and effective procedure.
authors.affiliation: Department of Obstetrics and Gynecology, Assiut University Hospital, Assiut, Egypt. ahmedamen1@yahoo.com
authors.forename: A F
authors.initials: AF
authors.lastname: Amin
authors.forename: M S
authors.initials: MS
authors.lastname: Mohammed
authors.forename: G H
authors.initials: GH
authors.lastname: Sayed
authors.forename: S
authors.initials: S
authors.lastname: Abdel-Razik
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data; D005260:Female; D006340:Heart Rate, Fetal / Q000187:drug effects; D006801:Humans; D007263:Infusions, Parenteral; D007743:Labor, Obstetric; D007902:Length of Stay / Q000706:statistics & numerical data; D016104:Oligohydramnios / Q000628:therapy*; D011247:Pregnancy; D011256:Pregnancy Outcome; D012965:Sodium Chloride / Q000627:therapeutic use*
chemical_list: D012965:Sodium Chloride