Prophylactic amnioinfusion as a treatment for oligohydramnios in laboring patients: A prospective, randomized trial

David B Schrimmer; Charles J. Macri; Richard H. Paul

doi:10.1016/0002-9378(91)90451-V

Prophylactic amnioinfusion as a treatment for oligohydramnios in laboring patients: A prospective, randomized trial

David B Schrimmer, Charles J. Macri, Richard H. Paul

Research output: Contribution to journal › Article › peer-review

53 Scopus citations

Abstract

Prophylactic amnioinfusion was studied in a randomized sample of 305 patients with oligohydramnios in labor. One hundred seventy-five patients underwent amnioinfusion with the remainder serving as controls. Amniotic fluid was titrated to an amniotic fluid index >10.0 cm in the treatment group. Patients receiving amnioinfusion had significantly less operative intervention for fetal distress (p = 0.0001) and fewer cesarean sections (p = 0.0001). Umbilical artery pH at the time of delivery also was increased (p = 0.0001). Rates of amnionitis and endometritis were not significantly different between infused patients and controls, although the length of hospital stay was significantly decreased (p = 0.002) in the treatment group. Our data support earlier reports in the literature that amnioinfusion is a useful technique for decreasing intrapartum morbidity for both mother and fetus.

Original language	English (US)
Pages (from-to)	972-975
Number of pages	4
Journal	American Journal of Obstetrics and Gynecology
Volume	165
Issue number	4 PART 1
DOIs	https://doi.org/10.1016/0002-9378(91)90451-V
State	Published - 1991
Externally published	Yes

Keywords

Amnioinfusion
amniotic fluid index
fetal distress
operative intervention

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/0002-9378(91)90451-V

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title = "Prophylactic amnioinfusion as a treatment for oligohydramnios in laboring patients: A prospective, randomized trial",

abstract = "Prophylactic amnioinfusion was studied in a randomized sample of 305 patients with oligohydramnios in labor. One hundred seventy-five patients underwent amnioinfusion with the remainder serving as controls. Amniotic fluid was titrated to an amniotic fluid index >10.0 cm in the treatment group. Patients receiving amnioinfusion had significantly less operative intervention for fetal distress (p = 0.0001) and fewer cesarean sections (p = 0.0001). Umbilical artery pH at the time of delivery also was increased (p = 0.0001). Rates of amnionitis and endometritis were not significantly different between infused patients and controls, although the length of hospital stay was significantly decreased (p = 0.002) in the treatment group. Our data support earlier reports in the literature that amnioinfusion is a useful technique for decreasing intrapartum morbidity for both mother and fetus.",

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N2 - Prophylactic amnioinfusion was studied in a randomized sample of 305 patients with oligohydramnios in labor. One hundred seventy-five patients underwent amnioinfusion with the remainder serving as controls. Amniotic fluid was titrated to an amniotic fluid index >10.0 cm in the treatment group. Patients receiving amnioinfusion had significantly less operative intervention for fetal distress (p = 0.0001) and fewer cesarean sections (p = 0.0001). Umbilical artery pH at the time of delivery also was increased (p = 0.0001). Rates of amnionitis and endometritis were not significantly different between infused patients and controls, although the length of hospital stay was significantly decreased (p = 0.002) in the treatment group. Our data support earlier reports in the literature that amnioinfusion is a useful technique for decreasing intrapartum morbidity for both mother and fetus.

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