Prophylactic transcervical amnioinfusion in laboring women with oligohydramnios.
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.
Amin
A F
AF
Department of Obstetrics and Gynecology, Assiut University Hospital, Assiut, Egypt. ahmedamen1@yahoo.com
Mohammed
M S
MS
Sayed
G H
GH
Abdel-Razik
S
S
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*
D012965:Sodium Chloride