Prophylactic Amnioinfusion during Labor Complicated by Moderate to Thick Meconium - A Prospective Randomized Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 9
Abstract
Introduction: Transcervical amnioinfusion is a simple, easy, and efficacious method by which normal saline is infused into the amniotic cavity following spontaneous or induced rupture of membranes in laboring patients with moderate to thick meconium. Saline thus infused dilutes the amniotic fluid which, in turn, becomes amenable to oropharyngeal suctioning and reduces the incidence of meconium aspiration and neonatal respiratory distress syndrome, thereby improving the neonatal outcome. Materials and Methods: This prospective randomized controlled study was performed on 40 patients admitted to the labor room in District Hospital, Doda, from October 2016 to December 2017. The patients included women in the first stage of labor who were found to have thick meconium on spontaneous or artificial rupture of membranes and a regular FHR. Results: Maximum number of patients were in 37–40 weeks group. In Group-I, 65% of the patients had normal delivery as compared to 40% in the control group. This difference was statistically significant. The percentage of cases delivered by lower (uterine) segment cesarean section (LSCS) was also higher (50%) in Group-II as against Group-I (25%) which was again statistically significant. Conclusion: The results of the study suggest that transcervical amnioinfusion should be considered in patients with moderate to thick meconium during labor as it improves the maternal and neonatal outcome in a setup with limited intrapartum surveillance facilities.
Authors and Affiliations
Madhu Chib, Rattan Singh Manhas
Keywords
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