title: Transabdominal amnioinfusion for improving fetal outcomes after oligohydramnios secondary to preterm prelabour rupture of membranes before 26 weeks.
abstract: BACKGROUND
  Preterm prelabour rupture of membranes (PPROM) before 26 weeks can delay lung development and can cause pulmonary hypoplasia, as a result of oligohydramnios. Restoring the amniotic fluid volume by transabdominal amnioinfusion might prevent abnormal lung development and might have a protective effect for neurological complications, fetal deformities and neonatal sepsis.
  
  
  OBJECTIVE
  To assess the effectiveness of transabdominal amnioinfusion in improving perinatal outcome in women with oligohydramnios secondary to rupture of fetal membranes before 26 weeks.
  
  
  METHODS
  We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 April 2013).
  
  
  METHODS
  All randomised controlled trials comparing transabdominal amnioinfusion with no transabdominal amnioinfusion. Cluster- or quasi-randomised trials were not eligible for inclusion. In cases where only an abstract was available, we attempted to find the full articles.
  
  
  METHODS
  Two review authors assessed trials for inclusion. No eligible trials were identified.
  
  
  RESULTS
  There are no included studies.
  
  
  CONCLUSIONS
  There is currently no evidence to evaluate the use of transabdominal amnioinfusion in women with oligohydramnios secondary to rupture of fetal membranes before 26 weeks for improving perinatal outcome. Further research examining the effects of this intervention is needed. Two randomised controlled trials are ongoing but final data have not yet been published.
authors.affiliation: Department of Obstetrics and Gynaecology, Maastricht University Medical Centre, P. Debyelaan 25, Maastricht, Netherlands, 6229 HX.
authors.forename: Stijn
authors.initials: S
authors.lastname: Van Teeffelen
authors.forename: Eva
authors.initials: E
authors.lastname: Pajkrt
authors.forename: Christine
authors.initials: C
authors.lastname: Willekes
authors.forename: Sander M J
authors.initials: SM
authors.lastname: Van Kuijk
authors.forename: Ben Willem J
authors.initials: BW
authors.lastname: Mol
mesh_terms: D000015:Abnormalities, Multiple / Q000517:prevention & control; D000650:Amnion; D005260:Female; D005322:Premature Rupture of Fetal Membranes; D005440:Fluid Therapy; D005865:Gestational Age; D006801:Humans; D007263:Infusions, Parenteral / Q000379:methods*; D008168:Lung / Q000002:abnormalities; D008171:Lung Diseases / Q000517:prevention & control; D007752:Obstetric Labor, Premature; D016104:Oligohydramnios / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy
references.citation: BJOG. 2005 Jun;112(6):759-63
references.pmid: 15924533
references.citation: Stat Med. 2006 Oct 30;25(20):3443-57
references.pmid: 16345038
references.citation: Int J Gynaecol Obstet. 2010 Mar;108(3):199-202
references.pmid: 20015490
references.citation: BMJ. 1997 Sep 13;315(7109):629-34
references.pmid: 9310563
references.citation: Eur J Obstet Gynecol Reprod Biol. 2007 Mar;131(1):40-44
references.pmid: 16730113
references.citation: Fetal Diagn Ther. 2003 May-Jun;18(3):183-9
references.pmid: 12711874
references.citation: J Pediatr Surg. 1983 Aug;18(4):347-53
references.pmid: 6620072
references.citation: Am J Obstet Gynecol. 1985 Nov 1;153(5):557-62
references.pmid: 3904456
references.citation: Ultrasound Obstet Gynecol. 2000 Oct;16(5):482-94
references.pmid: 11169336
references.citation: Neonatology. 2012;101(2):83-90
references.pmid: 21934333
references.citation: J Matern Fetal Neonatal Med. 2003 Nov;14(5):291-6
references.pmid: 14986801
references.citation: Fetal Diagn Ther. 2003 Nov-Dec;18(6):412-7
references.pmid: 14564111
references.citation: Obstet Gynecol. 1995 Sep;86(3):466-75
references.pmid: 7651663
references.citation: Obstet Gynecol Surv. 1990 Nov;45(11):792-803
references.pmid: 2234705
references.citation: Eur J Obstet Gynecol Reprod Biol. 2010 Jan;148(1):3-12
references.pmid: 19892458
references.citation: Cochrane Database Syst Rev. 2011 Dec 07;(12):CD000942
references.pmid: 22161365
references.citation: Pediatr Pharmacol (New York). 1983;3(2):101-6
references.pmid: 6371693
references.citation: Am J Obstet Gynecol. 2012 Nov;207(5):393.e1-11
references.pmid: 22999157
references.citation: Acta Biomed. 2004;75 Suppl 1:62-6
references.pmid: 15301294
references.citation: Am J Obstet Gynecol. 1994 Apr;170(4):1139-44
references.pmid: 8166198