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  • Title: Transcervical intrapartum amnioinfusion: a simple and effective technique.
    Author: Surbek DV, Hösli IM, Pavic N, Almendral A, Holzgreve W.
    Journal: Eur J Obstet Gynecol Reprod Biol; 1997 Dec; 75(2):123-6. PubMed ID: 9447362.
    Abstract:
    OBJECTIVE: To test a simple method of intrapartum amnioinfusion to replace amniotic fluid during labor in cases of prolonged labor and severe variable fetal heart rate decelerations or thick meconium. STUDY DESIGN: We conducted a prospective study of intrapartum amnioinfusion in sixteen consecutive patients. A simple transcervically placed Foley bladder catheter was used for intrauterine infusion of saline solution, while monitoring was performed by external cardiotocography. RESULTS: In twelve patients, catheter placement was easily performed; the remaining four required stabilization by a mandrel for insertion. Amnioinfusion was effective in ten out of thirteen patients for relief of fetal heart rate anomalies. No complications were observed; all had good neonatal outcome. CONCLUSIONS: In our small, uncontrolled study, this amnioinfusion method proved to be a simple, inexpensive, effective and safe technique for the relief of severe heart rate anomalies in prolonged labor.
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