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Re: amnioinfusion for meconium From: rbraun@champion.iupui.edu Wed Nov 5 07:21:14 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@champion.iupui.edu: "Re: grave's disease" Previous message: Gail Waldby MD: "Re: Neccessity for suprapubic catheterisation" In reply to: chad leet: "Re: amnioinfusion for meconium" There are multiple articles in the literature showing a decreased incidence of Meconium aspiration syndrome, if amnioinfusion was used. Sadovsky et. al. Am J ob gyn 1989;161:613 This is the only reference I can put my hands on right this moment. I seem to have misplaced all the slides and articles from my lecture on this topic. I remember that there were one or two articles by Wenstrom. It was originally presumed that the way this worked to prevent MAS was by "washing out" the meconium. This always bothered me because it seemed like we were diluting it and hence making it easier to aspirate. Then somebody smart got to thinking about it and came up with the following theory. The amnioinfusion protects the cord from compression. Since cord compression causes the baby to gasp and hence aspirate whatever is around its mouth, prevention of cord compression prevents gasping and hence prevents MAS. -- R. Daniel Braun, MD On Tue, 4 Nov 1997, chad leet wrote: > At Wed, 17 Jan 1996, Jason Gardosi wrote: > > > >>I would be very interested to her how many of you routinely or ever use amnioinfusion for thick meconium or any meconium. I have not been an enthusiast but am starting to have doubts. > > > >>Thanks in advance, > > > >>David > >>David Nagey -University of Maryland School of Medicine -dnagey@c3p0.ab.umd.edu > > > >We don't but should, according to the evidence. See meta-analysis by Dye et al in AmJOG 1994;171:1601-5 > > > >Jason > > > >jason.gardosi@nottingham.ac.uk > >OB/GYN, Queen's Medical Centre > >University of Nottingham, UK > > -- > Please e-mail me any information or resourses about the uses of amnioinfusion for meconium staining. > I am writing a research paper and I am having problems finding any information on this subject. > thank you chad > Next message: rbraun@champion.iupui.edu: "Re: grave's disease" Previous message: Gail Waldby MD: "Re: Neccessity for suprapubic catheterisation" In reply to: chad leet: "Re: amnioinfusion for meconium"

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