AMNIOINFUSION IN LABOR INDUCTION OF TERM PREGNANCIES WITH PREMATURE RUPTURE RUPTURE OF THE MEMBRANES AND LOW AMNIOTIC FLUID
Abstract
Objective: To evaluate the effect of prophylactic amnioinfusion in term pregnancy with (PROM) and low (AF) volume prior to labor induction. Method: 120 women with amnioinfusion and 136 in a control group with term pregnancy and low (AF) were admitted for induction of labor in Basra maternity hospital were studies. Amnioinfusion of normal saline (N/S)37C◦ was realized in the study group of about 500ml/hr through trancervical catheter, while the control group received identical obstetric care except in aminoinfusion. Results: Both studies groups were similar in age, parity, gestional age and interval from rupture membranes until induction while we found that the studied group had less length of labor with decrease risk of (C.S), low maternal complications and less neonatal complications such as apgor score, admittion to (NICU), MAS and neonatal death and the difference was statistically significant. Conclusion: We concluded that prophylactic amnioinfusion improve neonatal outcome and decrease the maternal complications when used in labor induction of term pregnancy with PROM and low AF volume.References
Mandeville, Lrsa and Toriana, Nan (1999) high risk and critical care : intrapartum Nursing 2nd edition, philedelphia : Lippincott, P. 41.
Creasy R, Resnik R. Amniotic fluid dynamics. Practice of maternal fetal medicine Philadelphia: WB Saunder company, 1994: 106-114.
Martin E, Jeen S(1990). Intrapartum management modules 2nd edition, Maryland :Williams and Wilkiins, PP 147-149.
Murray, Michele (1997). Antepartum and intrapartum monitoring 2nd edition, Newmexico: leaning Resources international, INC; PP 61-63.
Strong TH., Amnioinfusion J. Repord. Med. 1995; 49: 108-14.
Macri CG, Green Spoo MD. Prophylatic amnioinfusion improve outcome of pregnancy complicated by thick meconium. Am. Med. J. 1992; 167: 117-124.
Ciolone PR. Sherer D.M. Ryan R.M. Amnioinfusion during labor complicated by particular meconium stained amniotic fluid decrease neonatal morbidity. Am.J Obstet. Gyne. 1994; 127: 392-396.
Nancy LE, Micheue LE. Prophylactic amnioinfusion in pregnancy complicated by thick meconium. Am.J. Obstet. Gyne. 1994; 171: 2001-2005.
Miyazaki FS. Taylor NA. saline amnioinfusion for relief of variable deceleration Am.J. Obstet Gyne. 1983; 146: 670-680.
Owen J, Henson V. Hauth JC. A prospection randomized study of saline anioinfusion Am.J. Obstet. Gyne. 1990; 162: 1146-1149.
Ougundipe OA, Spong Cy. Ross MG. prophylactic amnioinfusion for oligohydramnious. Obst. Gyne. 1994; 84: 544-548.
Shrimmer DB. Macri CT, Paul Rh. Prophylactic Amnioinfusion as a treatment for oligohydramnious in laboring patients. Am.J. Obstet. Gyne. 1991; 165: 972-975.