Intrapartum amnioinfusion in patients with meconium – stained amniotic fluid

Elżbieta Ronin-Walknowska; Olimpia Sipak-Szmigiel; Marek Bilar; Monika Samborska; Karina Engel

Vol 79, No 9 (2008)

ARTICLES

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Intrapartum amnioinfusion in patients with meconium – stained amniotic fluid

Elżbieta Ronin-Walknowska, Olimpia Sipak-Szmigiel, Marek Bilar, Monika Samborska, Karina Engel

Ginekol Pol 2008;79(9).

Vol 79, No 9 (2008)

ARTICLES

Abstract

Abstract 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.