Transabdominal amnioinfusion for the management of nonlaboring postdates with severe oligohydramnios

Fetal Diagn Ther. 1993 Nov-Dec;8(6):412-7. doi: 10.1159/000263860.

Abstract

A retrospective study compared two comparable consecutive groups of nonlaboring primiparas beyond 41 weeks with severe oligohydromanios (no amniotic pocket more than 2 cm deep). Transabdominal amnioinfusions were not done in the historical control group (n = 14) but were done in the second group (n = 11). Fetal heart rate patterns and neonatal outcome were better in the group with amnioinfusion than in controls, and the rate of cesarean delivery was significantly lower (18 vs. 93%, p < 0.001). These results suggest that prepartum transabdominal amnioinfusion may have obstetrical and perinatal benefits for nonlaboring postdates with oligohydramnios, especially when the cervix is unripe.

Publication types

  • Comparative Study

MeSH terms

  • Abdomen
  • Amnion*
  • Dinoprostone / therapeutic use
  • Female
  • Heart Rate, Fetal
  • Humans
  • Labor, Induced
  • Oligohydramnios / complications
  • Oligohydramnios / therapy*
  • Oxytocin / therapeutic use
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy, Prolonged*
  • Retrospective Studies
  • Sodium Chloride / administration & dosage*

Substances

  • Sodium Chloride
  • Oxytocin
  • Dinoprostone