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Re: Amnio infusionFrom: Jason Gardosi (jason.gardosi@nottingham.ac.uk)Thu Jul 4 06:13:03 1996
At 17:54 03/07/96 -0500, Mats wrote: >No ruptures had been reported last I looked and infections, as you say, >do not seem to be an issue. But there are case reports of maternal >deaths, probably caused by amniotic embolism. The mechanism would >be forced entry of amniotic debris into uterine veins by the raised >pressure, possibly in combination with an unfortunate position of >the catheter. It is true that there have been some case reports but it is uncertain how many of these might have happened anyway, e.g. associated with abruption. Clark et al AmJOG 1995;172:1158-69 analysed the US national registry of amniotic fluid embolism and found no direct causative link. The effectiveness and overall safety of amnio-infusion is confirmed by Joseph Ouzanian's excellent review chapter in Bailliere's Clin Obs & Gyn on 'Intrapartum Surveillance', out this month. Jason jason.gardosi@nottingham.ac.uk OB/GYN, Queen's Medical Centre, Nottingham University http://www.ccc.nottingham.ac.uk/~mgzobgyn/PRAM/
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