Re: Amnioinfusion

From: Efrain Ramirez (eramirezt@coqui.net)
Sun Nov 27 12:24:36 2005


I used to do them - not lately - as with a many methods, drugs - etc - they seem to work better when first used - wonder why??

Ef...

>At Sat, 26 Nov 2005, R. Daniel Braun wrote:
>
>I believe that the study showing that was a little underpowered to prove NO
>benefit. I would have to go look it up to see for sure. If I remember
>correctly when this all first came out, someone calculated that a study
>would have to have several thousand patients in each arm to show a 50%
>reduction in the incidence of meconium aspiration syndrome. Since it is
>easier to show a positive effect, it would seem likely that at least that
>many would be needed to show an absence of effect.
>
>Dan
>
>On 11/26/05, Andrew Folley <agfolley@hotmail.com> wrote:
>>
>> On a side not, I believe the literature is now saying amnioinfusion not
>> beneficial for meconium. Still may have some benefits for variable.
>> someone check me on this. andrew
>>
>> >From: "R. Daniel Braun" <rd.braun@gmail.com>
>> >Reply-To: ob-gyn-l@obgyn.net
>> >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>> >Subject: Re: Amnioinfusion
>> >Date: Sat, 26 Nov 2005 07:09:54 -0600
>> >
>> >Concur with Larry. Never heard of such a thing.
>> >Dan
>> >
>> >On 11/25/05, dmecnm@aol.com <dmecnm@aol.com> wrote:
>> > >
>> > > G1 in active labor. 4-5 cms dilated. SROM, clear fluid. Moderate
>> > > variable decels. IUPC and FSE already in place.
>> >Amnioinfusionrecommended. 4th year resident said it was "too
>> > > early to do an amnioinfusion." She said that there were studies
>> showing
>> > > that women who have amnioinfusions for extended periods of time abso b
>> >the
>> > > solution and then have electrolyte imbalances from the infusion *AND
>> >*the
>> > > uterine muscle fibers would absorb the fluid causing an increased
>> >uterine to!
>> > > ne that was irreversible.
>> > >
>> > > This is new to me. Can someone give me more information regarding
>> these
>> > > two statements?
>> > >
>> > > Denise, CNM
>> > > So Cal
>> > >
>> >
>> >--
>> >R. Daniel Braun
>> > Kinky for Governor
>>
>!
>>
>--
>R. Daniel Braun
> Kinky for Governor
>

--
Have the courage to be ignorant of a great number of things, in order
to avoid the calamity of being ignorant of everything.
Sydney Smith (1771 - 1845)

~walt whitman~





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