Simultaneous use of intrapartum fetal pulse oximetry and amnioinfusion in meconium stained amniotic fluid

Objective: Fetal pulse oximetry is a minimally invasive, simple technique which continuously helps to reflect in utero well-being. The presence of meconium in the amniotic fluid may be a clinical sign of fetal hypoxaemia. Amnioinfusion has a beneficial effect on the incidence of meconium aspiration...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2002-09, Vol.104 (2), p.105-108
Main Authors: Halvax, László, Szabó, István, Vizer, Miklós, Csermely, Tamás, Ertl, Tibor
Format: Article
Language:English
Subjects:
Adolescent
Adult
Amnioinfusion
Amniotic Fluid
Biological and medical sciences
Cardiotocography
Cesarean Section
Delivery, Obstetric - methods
Delivery. Postpartum. Lactation
Disorders
Female
Fetal pulse oximetry
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Meconium
Meconium Aspiration Syndrome - prevention & control
Meconium stained amniotic fluid
Medical sciences
Oximetry - methods
Pregnancy
Pregnancy Outcome
Retrospective Studies
Time Factors
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Summary:Objective: Fetal pulse oximetry is a minimally invasive, simple technique which continuously helps to reflect in utero well-being. The presence of meconium in the amniotic fluid may be a clinical sign of fetal hypoxaemia. Amnioinfusion has a beneficial effect on the incidence of meconium aspiration syndrome (MAS), and the presence of meconium below the level of the vocal cords. Study Design: We studied the impact of amnioinfusion combined with fetal pulse oximetry on the incidence of meconium aspiration syndrome and operative delivery. Results: The retrospective analysis revealed that the presence of meconium below the level of vocal cords was significantly reduced. The frequency of cesarean section is decreased, however, it did not reach statistical significance. Conclusion: Fetal pulse oximetry may be used in combination with amnioinfusion and cardiotocography (CTG) to reduce the risk of meconium aspiration syndrome and the number of instrumental deliveries and improve perinatal outcome.
ISSN:0301-2115
1872-7654
DOI:10.1016/S0301-2115(02)00061-1