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ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2001, Number 2

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Perinatol Reprod Hum 2001; 15 (2)

Experiencia de 1000 amnioinfusiones transcervicales en casos de ruptura prematura de membranas (RPM): utilidad, dificultades y relación con la reducción de cesáreas

Guzmán SA, Alfaro AN, Guzmán SDA, De Alba AM, Hernández MFJ, Pérez GJF

Language: Spanish
References: 19
Page: 115-123
PDF size: 173.54 Kb.


ABSTRACT

Objective: We analyze the prospectively and descriptive study results of our experience related to 1000 transcervical amnioinfusions, done at Hospital Civil de Belén de Guadalajara (1993-1998). At the same time we describe the technique, as the utility and the difficulties founded during the procedure of the amnioinfusion.
Material and methods: We select 1000 at term pregnancies with membranes ruptures (RM) of at least 8 hours and irregular labor, to whom we practice transcervical amnioinfusions.
Results The amnioinfusions were of two types: Prophylactics (done in order to prevent an intrinsically umbilical cord compressions) in 40.6% cases (n = 406) and therapeutic (for removing infected amniotic fluid or meconium) in 59% cases (n = 590); in these group are included 4 patients in which we could not made the amnioinfusion. In 124 patients the procedure were made for relief the umbilical cord compression and only in 79% of those patients (n = 98), the compression were corrected; another 392 (39.2%) amnioifusions were made to remove meconium and replace it with saline solution. In 71 (7.1%) patients we wash the uterine cavity with saline solution because they had corioamnioitis. 99.7% patients (n = 997) normalized the uterine contractility between the 5 to 20 minutes after the amnioinfusion. 93.1% patients (n =931) had theirs babies between the 2 to 6 hours after the amnioinfusion. 6.7% C-Sections (n = 67) were made. Two babies died during the labor because a severe infection.
Conclusions: The amnioinfusion is a useful, simple, easy to learn and a cheap procedure; is advisable to use it, in cases of RM and irregular labor in order to reduce C-Sections and prevent perinatal and maternal morbidity.


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