Transabdominal amnioinfusion in oligohydramnios at term before induction of labor with intact membranes: A randomized clinical trial

Vergani, Patrizia; Ceruti, Paola; Strobelt, Nicola; Locatelli, Anna; Patrizia, D’Oria; Mariani, Silvana

doi:10.1016/s0002-9378(96)70163-1

Cited by 20 publications

(5 citation statements)

References 18 publications

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“…Oligohydramnios is defined as a single reading of the amniotic fluid index (AFI) below 5 cm or 3 readings below 8 cm [1]. The deepest pool (DP) is an alternative form of measurement with a normal range between 2 cm and 10 cm.…”

Section: Introductionmentioning

confidence: 99%

The role of antepartum transabdominal amnioinfusion in the management of oligohydramnios in pregnancy

Butt

Ahmed

2010

The Journal of Maternal-Fetal & Neonatal Medicine

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Transabdominal amnioinfusion is a useful procedure to reduce complications that result from oligohydramnios. Although the results show a high perinatal mortality, it must be borne in mind that most of these pregnancies had multiple fetal abnormalities with an already predicted poor outcome. Importantly, as this procedure increases the latency period, it may be useful in preterm pregnancies where prolonging the duration of the pregnancy may result in better perinatal outcome by improving important factors that influence survival including increased birthweight.

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Section: Introductionmentioning

confidence: 99%

The role of antepartum transabdominal amnioinfusion in the management of oligohydramnios in pregnancy

Butt

Ahmed

2010

The Journal of Maternal-Fetal & Neonatal Medicine

View full text Add to dashboard Cite

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“…Oligohydramnios is said to be present if a single reading of the amniotic fluid index (AFI) is less than 5 cm or 3 readings are less than 8 cm [1]. Oligohydramnios complicates 4% to 5.5% of all pregnancies [2,3], and can lead to antepartum and intrapartum fetal death, compression-related limb deformities, and pulmonary hypoplasia.…”

Section: Introductionmentioning

confidence: 99%

Antepartum transabdominal amnioinfusion

Chhabra

Dargan

Nasare

2007

Intl J Gynecology & Obste

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“…[12][13][14][15] In our study, 27.8% of patients needed caesarean section which was comparable to various studies like Patrizia Vergani et al calculated rate of LSCS 5% in study group and Chhabra et al calculated rate of LSCS 18% in the study group. 16,17 Similarly Mandelbrot et al also reported a significant decrease in rate of caesarean sections in the amnioinfused group. 18 In our study, the mean APGAR score in study group at 1 and 5 minutes was 6.8±1.09 and 8.3±0.87 respectively.…”

Section: Discussionmentioning

confidence: 88%

Therapeutic amnioinfusion in oligohydramnios during pregnancy (excluding labor)

Qazi

Saqib

Ahmad

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Oligohydramnios is a serious complication of pregnancy that is associated with a poor perinatal outcome and complicates 1-5% of pregnancies. The purpose of this study was to evaluate the role of antepartum transabdominal amnioinfusion on amniotic fluid volume/latency period in pregnancies with oligohydramnios.Methods: This study was conducted in the Department of Obstetrics and Gynaecology at Sher-i-Kashmir Institute of Medical Sciences Soura Srinagar. In this study, a total of 54 pregnant women with ultrasonographically diagnosed oligohydramnios i.e. AFI < 5 cm and gestational age of >24 weeks were taken for therapeutic amnioinfusion and its effects on amniotic fluid volume were studied. Statistical Software SPSS (Version 20.0) and Microsoft excel were used to carry out the statistical analysis of data. P-value less than 0.05 was considered statistically significant.Results: Mean age of patients in our study was 27.5±3.19 years and gestational age group of 28-34 weeks. The mean AFI pre and post amnioinfusion was found to be 3.3 cm and 8.8 cm respectively. The difference was found to be statistically significant with a p value of <0.001. There was increase in the latency period in the studied patients with a mean latency period of 42.8±14.94 days. Mean number of transabdominal amnioinfusions in our study was 1.48±0.64. In our study, majority of patients i.e. 33 (61.1%) delivered at 38-40 weeks with a mean age at delivery 37.4±1.92 weeks. In our study, maximum number of patients i.e. 32 (59.3%) were delivered by full term normal delivery and only 15 (27.8%) required caesarean section. 78% of newborns weighed >2.5kg. The mean weight of newborn was 2.9±0.59 kgs. The incidence of newborn admissions to NICU was 20.4%. Number of neonatal deaths in our study was 5.6%. There was reduction of neonatal admission to NICU and neonatal deaths after transabdominal amnioinfusion.Conclusions: Antepartum transabdominal amnioinfusion is a useful procedure to reduce complications resulting from decreased intra-amniotic volume. It significantly raises the amniotic fluid especially useful in preterm pregnancies, where the procedure allows for a better perinatal outcome by significantly prolonging the duration of pregnancy, increasing birth weight, preventing fetal distress and thereby reducing operative intervention. Optimizing the selection of patients who are good candidates for the procedure is a prerequisite.

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Transabdominal amnioinfusion in oligohydramnios at term before induction of labor with intact membranes: A randomized clinical trial

Cited by 20 publications

References 18 publications

The role of antepartum transabdominal amnioinfusion in the management of oligohydramnios in pregnancy

The role of antepartum transabdominal amnioinfusion in the management of oligohydramnios in pregnancy

Antepartum transabdominal amnioinfusion

Therapeutic amnioinfusion in oligohydramnios during pregnancy (excluding labor)

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