Abstract
Objectives: Evaluation of prophylactic intrapartum amnioinfusion in women with oligohydramnios. Methods: Assiut University Hospital during the period from February 2000 to September 2001, 160 laboring women with oligohydramnios [amniotic fluid index (AFI) ≤5 cm] were randomized into: amnioinfusion and control groups. Inclusion criteria were: term singleton gestation, vertex presentation, cervical dilatation <4 cm, and assuring fetal heart rate (FHR). Trans-cervical amnioinfusion was done with warmed normal saline. Results: there was a significant increase in AFI after amnioinfusion ( P<0.001). The amnioinfusion group showed lower cesarean section rate for fetal distress ( P=0.003), lower incidence of abnormal FHR ( P=0.006), fewer neonates with Apgar score <7 at 1 min ( P<0.001), and 5 min ( P=0.009), meconium below vocal cords ( P<0.001), umbilical arterial pH<7.1 ( P=0.003), and significantly shorter hospital stay ( P=0.02). Conclusion: Prophylactic trans-cervical amnioinfusion is a simple, safe and effective procedure.
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