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| Effect of amnioinfusion on delivery outcomes of parturients with isolated oligohydramnios at term |
| LIU Liheng, WANG Qing, HOU Lei, WANG Xin |
| Department of Obstetrics,Beijing Obstetrics and Gynecology Hospital,Beijing Maternal Child Health Care Hospital,Capital Medical University,Beijing 100026,China |
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Abstract Objective To investigate the effect of amnioinfusion on the delivery outcome of pregnant women with isolated oligohydramnios at term. Methods Ninety-three cases of induced labor with isolated hydramnios at term treated in the Department of Obstetrics of Beijing Obstetrics and Gynecology Hospital after amnioinfusion between 2017 to 2019 were selected as the perfusion group, while another 135 cases of isolated hydramnios at term without amnioinfusion were selected as the control group. The delivery outcomes were compared between the two groups. Results There was no statistically significant difference(P＞0.05)in age,numbers of pregnancies and deliveries, gestational age or amniotic fluid indexes between the two groups.In the perfusion group, 14 cases were transferred to cesarean section, and the cesarean section rate was 15.0%, compared with 40 and 29.6% in the control group. In addition, the incidence of postpartum hemorrhage [(352.58±163.05) ml], fetal distress (25.8%), amniotic fluid fecal contamination (19.4%) and neonatal asphyxia (1.1%) in the perfusion group was not significantly different from(353.78±99.09) ml, 34.1%, 24.4% and 4.4% in the control group (P＞0.05). Conclusions Amnioinfusion can reduce the cesarean section rate among full-term women with oligohydramnios and improve the quality of obstetrics without increasing the incidence of complications.
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Received: 20 July 2021
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| [1] |
Dad N, Abushama M, Konje J C,et al. What is the role of amnioinfusion in modern day obstetrics?[J]. J Matern Fetal Neonatal Med, 2016, 29(17): 2823-2827.
|
| [2] |
Contro E, Jauniaux E. Amnioinfusion: from termination of pregnancy to therapy[J]. BJOG, 2021, 128(2): 303.
|
| [3] |
Chamberlain P F, Manning F A, Morrison I,et al. Ultrasound evaluation of amniotic fluid volume. I. The relationship of marginal and decreased amniotic fluid volumes to perinatal outcome[J]. Am J Obstet Gynecol, 1984, 150(3): 245-249.
|
| [4] |
Esaki M, Maseki Y, Tezuka A,et al. Continuous amnioinfusion in women with PPROM at periviable gestational ages [J]. J Matern Fetal Neonatal Med, 2020, 33(7): 1151-1156.
|
| [5] |
Panda S, Jayalakshmi M,Shashi K G, et al. Oligoamnios and perinatal outcome[J]. J Obstet Gynaecol India, 2017, 67(2): 104-108.
|
| [6] |
Ono T, Tsumura K, Kawasaki I,et al. Continuous amnioinfusion for treatment of mid-trimester preterm premature rupture of membranes with oligoamnios[J]. Obstet Gynaecol Res, 2020, 46(1): 79-86.
|
| [7] |
Sterpu I, Anfelter P, Wray S,et al. The association of second trimester biomarkers in amniotic fluid and fetal outcome [J].J Matern Fetal Neonatal Med, 2019, 32(21): 3627-3632.
|
| [8] |
Sekhon S, Rosenbloom J I, Doering M, et al. Diagnostic utility of maximum vertical pocket versus amniotic fluid index in assessing amniotic fluid volume for the prediction of adverse maternal and fetal outcomes: a systematic review and meta-analysis [J]. J Matern Fetal Neonatal Med, 2019, 72(15): 1-10.
|
| [9] |
朱秀风,邓宗凤.胎儿宫内窘迫相关因素对新生儿出生结局的影响[J].深圳中西医结合杂志,2021,31(5): 35-37
|
| [10] |
万佳义.妊娠晚期羊水过少352例相关因素分析[J].临床误诊误治, 2011, 24(8):82-84.
|
| [11] |
侯 磊,李光辉,邹丽颖, 等. 全国剖宫产率及剖宫产指征构成比调查的多中心研究[J].中华妇产科杂志,2014,49(10):728-735.
|
| [12] |
田盼盼. 静脉补液治疗羊水过少的疗效分析与评定[J].继续医学教育,2021,35(2):127-131
|
| [13] |
Miyazaki F S, Taylor N A. Saline amnioinfusion for relief of variable or prolonged decelerations. A preliminary reports[J]. Am J Obstet Gynecol, 1983, 146(12): 670-678.
|
| [14] |
李笑天,杨慧霞.胎儿学诊断与治疗[M]. 北京:人民卫生出版社,2012:820-827.
|
| [15] |
曹泽毅. 中华妇产科学[M]. 北京:人民卫生出版社,2008:440-450.
|
| [16] |
Mokhtari N, Wang T, DiSciullo A, et al. Intraamniotic infection rates after intrauterine pressure catheter with and without amnioinfusion[J]. Am J Perinatol, 2021, 38(2): 212-217.
|
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2022, Vol. 33 
