Puertas A, Tirado P, Pérez I, López MS, Montoya F, Cañizares JM, Miranda JA. Transcervical intrapartum amnioinfusion for preterm premature rupture of the membranes.
Eur J Obstet Gynecol Reprod Biol 2007;
131:40-44. [PMID:
16730113 DOI:
10.1016/j.ejogrb.2006.04.024]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2005] [Revised: 03/24/2006] [Accepted: 04/20/2006] [Indexed: 11/30/2022]
Abstract
OBJECTIVES
To investigate the effect of transcervical amnioinfusion on the management of labour and neonatal outcomes in preterm premature rupture of the membranes.
STUDY DESIGN
This clinical trial included 86 patients with premature rupture of the membranes between weeks 27 and 35 of gestation. Patients were randomly assigned to receive amnioinfusion via a two-way catheter or to the control group. Clinical management was otherwise the same in both groups.
RESULTS
Amnioinfusion decreased the frequency of variable decelerations in fetal heart rate (27.9% versus 53.5%, p<0.05) and the rate of obstetric interventions motivated by nonreassuring fetal status (13.6% versus 52.4%, p<0.05). At delivery, pH values were significantly higher in the treatment group than in the conventionally managed control group (median 7.29 versus 7.27).
CONCLUSIONS
Intrapartum transcervical amnioinfusion for preterm premature rupture of the membranes reduced the number of interventions needed because of nonreassuring fetal status, and improved neonatal gasometric values without increasing maternal or fetal morbidity.
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