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[Intrapartum amnioinfusion in patients with meconium-stained amniotic fluid]
Karina Engel1, Monika Samborska, Marek Bilar
1Klinika Medycyny Matczyno-Płodowej, Pomorska Akademia Medyczna, Szczecin. halus@poczta.onet.pl
Objectives:
The aim of the study was to evaluate the effect of intrapartum amnioinfusion in the presence of meconium stained amniotic fluid.
Material And Methods:
93 women with meconium-stained amniotic fluid were assigned to receive amnioinfusion or no amnioinfusion (128 women). The trials were evaluated for fetal distress syndrome, route of delivery, fetal acidemia, Apgar score at 1 and 5 min., meconium aspiration syndrome, postpartum endometritis and maternal hospital stays.
Result:
Amnioinfusion in cases of meconium-stained fluid did not improve the number of fetal distress symptoms during fetal heart rate monitoring. Amnioinfusion was associated with a significant decrease of neonatal acidemia although it did not improve Apgar score. In our study amnioinfusion was not associated with reduction in the incidence of neonatal outcome and puerperial complications.
