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

Document Type

Journal Article

Publication Date

1-1-1991

Journal

American Journal of Obstetrics and Gynecology

Volume

165

Issue

4 PART 1

DOI

10.1016/0002-9378(91)90451-V

Keywords

Amnioinfusion; amniotic fluid index; fetal distress; operative intervention

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. © 1991.

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