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Role of intrapartum transcervical amnioinfusion in patients with meconium-stained amniotic fluid
Pushpa Bhatia1, Kumari Reena2, Sangita Nangia2
1Department of Obstetrics and Gynecology, ESI-PGIMSR, New Delhi, India ; 138, DDA Flats, (SFS), Pocket B, Mount Kailash, East of Kailash, New Delhi, 110065 India ; Department of Obstetrics and Gynecology, Kasturba Hospital, New Delhi, India.
Objectives:
The study was undertaken to evaluate maternal, perinatal outcomes following transcervical intrapartum amnioinfusion in women with meconium-stained amniotic fluid.
Methods:
A prospective comparative study was conducted on 100 women with meconium-stained amniotic fluid in labor. Group A: study group (50 cases) received amnioinfusion. Group B: control group (50 cases) did not receive amnioinfusion. FHR monitoring was done using cardiotocography.
Results:
Significant relief from variable decelerations was seen in 68.18 % cases in the amnioinfusion group as compared to 7.1 % cases in the control group. 78 % cases who were given amnioinfusion had vaginal delivery as compared to 18 % cases in the control group. Fourteen percent cases in the study group had cesarean delivery as compared to 68 % cases in the control group. Meconium aspiration syndrome was seen in six percent neonates in the study group as compared to 20 % in the control group. Two neonates died in the control group due to meconium aspiration syndrome. There was no maternal mortality or major maternal complication.
Conclusions:
Intrapartum transcervical amnioinfusion is valuable in patients with meconium-stained amniotic fluid.
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