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Re: AmnioinfusionFrom: Braun, R. Daniel (rbraun@iupui.edu)Thu Jan 31 05:03:16 2002
Actually there are some pretty good studies on amnioinfusion preventing MAS. It seems to work by preventing cord compression which in turn prevents gasping. While there have been many theoretical complications of amnioinfusion presented, ther ehave been few studies that show any evidence of serious complications. Dan R. Daniel Braun, MD Laws to suppress tend to strengthen what they would prohibit. This is the fine point on which all the legal professions of history have based their job security. Bene Gesserit Coda -----Original Message----- From: Richard D. Kaplan [mailto:rkaplan@triad.rr.com] Sent: Wednesday, January 30, 2002 10:02 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Amnioinfusion
>----- Original Message -----
> Hi,I work in a Unit that routinely does amnioinfusion on cases of Meconium aspiration (MAS) is a rare and horrible complication. As a resident we were told that, under stress, the fetus would gasp in utero and therefore we were encouraged to do a Cesarean at the very first sign of FHT changes. Then a study came out of Denver that suggested that DeLee suction on the perineum would decrease MAS. Then it was advocated that endotracheal suction of the fetus before it had a chance to cry. Then it was amnioinfusion. I hate to sound like an old fart but I'm not sure anyone will be able to prove that any of these interventions are truly beneficial. The problem is that once they become "routine" or standard of care you are screwed if the baby gets MAS and you didn't do what everybody else is doing in your hospital. Richard Kaplan, MD Greensboro, NC
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