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amnioinfusion

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https://www.readbyqxmd.com/read/27864598/impact-of-fetal-counseling-on-outcome-of-antenatal-congenital-surgical-anomalies
#1
Shilpa Sharma, Ranjana Bhanot, Dipika Deka, Minu Bajpai, Devendra K Gupta
AIM: To analyze the impact of counseling on antenatal congenital surgical anomalies (ACSA). METHODS: Cases presenting with ACSA for fetal counseling and those presenting in post-natal period following diagnosis of ACSA (PACSA) for surgical opinion were analyzed for spectrum, presentation and outcome. RESULTS: 117 cases including ACSA(68);PACSA(49) were analyzed. Gestational age at diagnosis of ACSA;PACSA was 17-37;17-39 weeks (median 24;32 weeks)...
November 18, 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27566222/practice-variation-in-the-management-of-intrapartum-fetal-distress-in-the-netherlands-and-the-western-world
#2
Lauren M Bullens, Suzanne Moors, Pieter J van Runnard Heimel, M Beatrijs van der Hout-van der Jagt, S Guid Oei
OBJECTIVE: Solid evidence on the effect of intrauterine resuscitation on neonatal outcome is limited, and superiority of one intervention over the others is not clear. We therefore surveyed the clinical practice variation in fetal monitoring and the management of fetal distress during labor, in Dutch labor wards. In addition, we have compared recommendations from international guidelines. STUDY DESIGN: We conducted a survey among all 86 Dutch hospitals, using a questionnaire on fetal monitoring and management of fetal distress...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27556818/amnioinfusion-for-chorioamnionitis
#3
REVIEW
G Justus Hofmeyr, Joseph A K Kiiza
BACKGROUND: Chorioamnionitis is a leading cause of perinatal morbidity and mortality. Amnioinfusion aims at reducing the adverse effects of chorioamnionitis by dilution of the infective organisms or by an anti-microbial effect of the fluid infused. OBJECTIVES: The objective of this review was to determine the effect of amnioinfusion on clinical and sub-clinical chorioamnionitis, fetal well-being, fetal heart rate characteristics and perinatal and maternal morbidity and mortality...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27287190/use-of-an-amnioport-to-maintain-amniotic-fluid-volume-in-fetuses-with-oligohydramnios-secondary-to-lower-urinary-tract-obstruction-or-fetal-renal-anomalies
#4
William J Polzin, Foong Y Lim, Mounira Habli, James Van Hook, Melissa Minges, Ronald Jaekle, Timothy M Crombleholme
OBJECTIVE: We describe a technique to maintain amniotic fluid in fetuses with severe oligo-/anhydramnios secondary to lower urinary tract obstruction or fetal renal disease when urine production is inadequate to maintain a normal amniotic fluid volume (AFV). METHODS: An amnioport was inserted into the amniotic space. The catheter was secured to prevent dislodgment and tunneled to a subcutaneous reservoir. The reservoir was accessed as necessary, infusing normal saline to maintain AFV...
June 9, 2016: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/27277245/a-case-report-of-umbilical-ring-constriction-with-application-of-amnioinfusion
#5
Mayumi Tokunaka, Junichi Hasegawa, Masamitsu Nakamura, Shoko Hamada, Ryu Matsuoka, Kiyotake Ichizuka, Akihiko Sekizawa, Takashi Okai
This is a case report of a pregnant 38-year-old primigravida woman. Due to severe fetal growth restriction and oligohydramnios, she was referred to our tertiary perinatal center at 24 weeks' gestation. To rule out chromosomal abnormalities and facilitate ultrasound evaluation of fetal morphology, we performed amniocentesis and subsequent amnioinfusion. Thereafter, a precise ultrasound examination revealed no obvious fetal morphological abnormalities except for a hyper-coiled cord and marginal placenta previa...
July 2013: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/26978650/serial-amnioinfusions-for-fetal-pulmonary-palliation-in-fetuses-with-renal-failure
#6
Sina Haeri, David H Simon, Kartik Pillutla
Fetal lower urinary tract obstruction (LUTO) encompasses a heterogeneous group of congenital pathologies and generally results in oligohydramnios. Fetal intervention (e.g. vesicoamniotic shunting, fetal cystoscopy) has traditionally been reserved for cases with a favorable renal profile, while those with unfavorable renal function have been offered termination or expectant management with the latter leading to high incidence of marked pulmonary hypoplasia, neonatal morbidity and mortality. Here, we describe two cases, which were not candidates for traditional intervention based on abnormal fetal renal function, who elected to proceed with serial amnioinfusions for fetal pulmonary palliation to attenuate the risk of pulmonary hypoplasia...
March 29, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26937648/idiopathic-polyhydramnios-persistence-across-gestation-and-impact-on-pregnancy-outcomes
#7
Imelda N Odibo, Trista M Newville, Songthip T Ounpraseuth, Mandi Dixon, Monica A Lutgendorf, Lisa M Foglia, Everett F Magann
PURPOSE: To investigate the likelihood of resolution of idiopathic polyhydramnios in pregnant women and compare outcomes between resolved and persistent cases. METHODS: One hundred and sixty-three women with idiopathic polyhydramnios who delivered at two medical centers during a 3 year period (January 2012-January 2015) were included in the study. Exclusion criteria included congenital fetal anomalies, maternal diabetes, isoimmunization, fetal infection, placental tumors or anomalies, and multiple gestation...
April 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/26461043/what-is-the-role-of-amnioinfusion-in-modern-day-obstetrics
#8
Nimra Dad, Mandy Abushama, Justin C Konje, Badreldeen Ahmed
Amniotic fluid (AF) is a dynamic medium that plays a significant role in fetal well-being. It is production and amount varies with gestational age. It plays a vital role in fetal life as it contains antimicrobial factors, growth factors and it help the fetal lung to grow and expand. Amnioinfusion can be performed either transabdominally or transvaginal. Amnioinfuion can be done antenatally and during labor. Aminoinfusion can be used for diagnostic purposes to enable better visualization of the fetus as liquor is very important acoustic widow for better fetal examination...
September 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26447923/treatment-of-preterm-premature-rupture-of-membranes-with-oligo-anhydramnion-colonized-by-multiresistant-bacteria-with-continuous-amnioinfusion-and-antibiotic-administrations-through-a-subcutaneously-implanted-intrauterine-port-system-a-case-report
#9
Michael Tchirikov, Zhaxybay Zhumadilov, Andreas Suhartoyo Winarno, Roland Haase, Jörg Buchmann
Bacterial infection is one of the main causes of preterm premature rupture of membranes (PPROM) leading to preterm delivery, pulmonary hypoplasia, sepsis and joint deformities. Expectant management, broad-spectrum antibiotics and antenatal corticosteroids are routinely used in this condition with very limited success to prevent bacteremia, chorioamnionitis, funisitis and intra-amniotic infection syndrome. Here, we report a case in which we attempted to treat PPROM at 26+3 weeks of gestation with anhydramnion colonized by multiresistant Klebsiella...
October 9, 2015: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/26314238/interventions-for-intrauterine-resuscitation-in-suspected-fetal-distress-during-term-labor-a-systematic-review
#10
REVIEW
Lauren M Bullens, Pieter J van Runnard Heimel, M Beatrijs van der Hout-van der Jagt, S Guid Oei
IMPORTANCE: Intrauterine resuscitation techniques during term labor are commonly used in daily clinical practice. Evidence, however, to support the beneficial effect of intrauterine resuscitation techniques on fetal distress during labor is limited and sometimes contradictory. In contrast, some of these interventions may even be harmful. OBJECTIVE: To give insight into the current evidence on intrauterine resuscitation techniques. In addition, we formulate recommendations for current clinical practice and propose directions for further research...
August 2015: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/25674710/interventions-for-helping-to-turn-term-breech-babies-to-head-first-presentation-when-using-external-cephalic-version
#11
REVIEW
Catherine Cluver, Gillian M L Gyte, Marlene Sinclair, Therese Dowswell, G Justus Hofmeyr
BACKGROUND: Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at birth so as to avoid the adverse effects of breech vaginal birth or caesarean section. Interventions such as tocolytic drugs and other methods have been used in an attempt to facilitate ECV. OBJECTIVES: To assess, from the best evidence available, the effects of interventions such as tocolysis, acoustic stimulation for midline spine position, regional analgesia (epidural or spinal), transabdominal amnioinfusion, systemic opioids and hypnosis, or the use of abdominal lubricants, on ECV at term for successful version, presentation at birth, method of birth and perinatal and maternal morbidity and mortality...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25448510/long-term-neurologic-outcomes-after-common-fetal-interventions
#12
REVIEW
Juliana Gebb, Pe'er Dar, Mara Rosner, Mark I Evans
OBJECTIVE: Fetal interventions have clearly decreased mortality, but the neurological outcomes of survivors are of critical concern. Here we consolidated available data on long-term neurological outcomes after common fetal interventions to guide counseling, management, and future research. STUDY DESIGN: Published studies assessing long-term neurological outcomes after common fetal interventions from 1990 through 2014 were collected. We included all studies with a cohort of more than 5 patients and with follow-up of 1 year or longer...
April 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25274969/respiratory-distress-in-the-newborn
#13
REVIEW
Suzanne Reuter, Chuanpit Moser, Michelle Baack
Respiratory distress presents as tachypnea, nasal flaring, retractions, and grunting and may progress to respiratory failure if not readily recognized and managed. Causes of respiratory distress vary and may not lie within the lung. A thorough history, physical examination, and radiographic and laboratory findings will aid in the differential diagnosis. Common causes include transient tachypnea of the newborn, neonatal pneumonia, respiratory distress syndrome (RDS), and meconium aspiration syndrome (MAS). Strong evidence reveals an inverse relationship between gestational age and respiratory morbidity...
October 2014: Pediatrics in Review
https://www.readbyqxmd.com/read/25004316/successful-in-utero-intervention-for-bilateral-renal-agenesis
#14
Jessica L Bienstock, Meredith L Birsner, Fred Coleman, Nancy A Hueppchen
BACKGROUND: We report a case of bilateral renal agenesis treated with serial amnioinfusion in which the newborn survived the newborn period and was able to undergo peritoneal dialysis as a bridge to planned renal transplantation. CASE: A 34-year-old woman, gravida 1 para 0, presented at 23 1/7 weeks of gestation with a diagnosis of anhydramnios and bilateral renal agenesis. The patient underwent weekly serial amnioinfusion with the goal of improving fetal pulmonary development...
August 2014: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/24974876/amniotic-fluid-embolism-antepartum-intrapartum-and-demographic-factors
#15
Alex Fong, Cindy T Chau, Deyu Pan, Dotun A Ogunyemi
OBJECTIVE: To describe the incidence, antepartum, intrapartum and postpartum risk factors, and mortality rate of amniotic fluid embolism (AFE). METHODS: We used 2001-2007 California health discharge data to identify cases of AFE by ICD-9 codes. RESULTS: Of 3,556,567 deliveries during the time period, we identified 182 cases of AFE, resulting in a population incidence of 5.1 in 100,000. Twenty-four of the cases resulted in death, giving a case fatality rate of 13...
May 2015: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/24858319/the-problem-of-preterm-delivery-after-laser-surgery
#16
REVIEW
Ramesha Papanna
Preterm birth after fetoscopic laser surgery for twin-twin transfusion continues to be a major challenge despite improved survival rates. The risk factors for the complications have been identified, which include preterm premature rupture of membranes, cervical length shortening, larger cannula diameter, amnioinfusion, complicated procedure, and severe disease. The interventions to prevent preterm birth such as cervical cerclage for short cervix and collagen plug placement have not been successful. Further understanding of the pathophysiology is urgently needed to identify newer methods to prevent preterm birth...
September 2014: American Journal of Perinatology
https://www.readbyqxmd.com/read/24789305/re-amnioinfusion-in-very-early-preterm-prelabor-rupture-of-membranes-amiprom-pregnancy-neonatal-and-maternal-outcomes-in-a-randomized-controlled-pilot-study-d-roberts-s-vause-w-martin-p-green-s-walkinshaw-l-bricker-c-beardsmore-n-shaw-a-mckay-g-skotny-p-williamson
#17
COMMENT
https://www.readbyqxmd.com/read/24713309/amnioinfusion-in-preterm-premature-rupture-of-membranes-amiprom-a-randomised-controlled-trial-of-amnioinfusion-versus-expectant-management-in-very-early-preterm-premature-rupture-of-membranes-a-pilot-study
#18
RANDOMIZED CONTROLLED TRIAL
Devender Roberts, Sarah Vause, William Martin, Pauline Green, Stephen Walkinshaw, Leanne Bricker, Caroline Beardsmore, Ben N J Shaw, Andrew McKay, Gaynor Skotny, Paula Williamson, Zarko Alfirevic
BACKGROUND: Fetal survival is severely compromised when the amniotic membrane ruptures between 16 and 24 weeks of pregnancy. Reduced amniotic fluid levels are associated with poor lung development, whereas adequate levels lead to better perinatal outcomes. Restoring amniotic fluid by means of ultrasound-guided amnioinfusion (AI) may be of benefit in improving perinatal and long-term outcomes in children of pregnancies with this condition. OBJECTIVE: The AI in preterm premature rupture of membranes (AMIPROM) pilot study was conducted to assess the feasibility of recruitment, the methods for conduct and the retention through to long-term follow-up of participants with very early rupture of amniotic membranes (between 16 and 24 weeks of pregnancy)...
April 2014: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/24708702/midtrimester-preterm-prelabour-rupture-of-membranes-pprom-expectant-management-or-amnioinfusion-for-improving-perinatal-outcomes-ppromexil-iii-trial
#19
RANDOMIZED CONTROLLED TRIAL
Augustinus S P van Teeffelen, David P van der Ham, Christine Willekes, Salwan Al Nasiry, Jan G Nijhuis, Sander van Kuijk, Ewoud Schuyt, Twan L M Mulder, Maureen T M Franssen, Dick Oepkes, Fenna A R Jansen, Mallory D Woiski, Mireille N Bekker, Caroline J Bax, Martina M Porath, Monique W M de Laat, Ben W Mol, Eva Pajkrt
BACKGROUND: Babies born after midtrimester preterm prelabour rupture of membranes (PPROM) are at risk to develop neonatal pulmonary hypoplasia. Perinatal mortality and morbidity after this complication is high. Oligohydramnios in the midtrimester following PPROM is considered to cause a delay in lung development. Repeated transabdominal amnioinfusion with the objective to alleviate oligohydramnios might prevent this complication and might improve neonatal outcome. METHODS/DESIGN: Women with PPROM and persisting oligohydramnios between 16 and 24 weeks gestational age will be asked to participate in a multi-centre randomised controlled trial...
2014: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/24683009/amnioinfusion-for-third-trimester-preterm-premature-rupture-of-membranes
#20
REVIEW
G Justus Hofmeyr, Ahizechukwu C Eke, Theresa A Lawrie
BACKGROUND: Preterm premature rupture of membranes (PPROM) is a leading cause of perinatal morbidity and mortality. Amnioinfusion aims to restore amniotic fluid volume by infusing a solution into the uterine cavity. OBJECTIVES: The objective of this review was to assess the effects of amnioinfusion for PPROM on perinatal and maternal morbidity and mortality. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (2 December 2013)...
2014: Cochrane Database of Systematic Reviews
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