Re: amnio-infusion

From: Rupert Sherwood (rupert@tassie.net.au)
Thu Aug 12 23:34:38 1999


jyothi unni wrote: >
> My patient is a 30 year old primigravida at 28 weeks gestation with
> Insulin dependant Diabetes Mellitus and Pre-Eclampsia. She has severe
> oligohydramnios.I would like to know if amnio-infusion is likely to help
> her. Please could you also let me know a simple and effective technique
> to perform the amnio-infusion. Thanks.

If the oligohydramnios is secondary to PE induced placental insufficiency (ie a new finding, and ultrasound midtrimester showed renal presence, and ROM excluded this admiossion, then correcting the oligohydramnios with infusion will not improve outcome. I would deliver this baby in a tertiary (level 3 neonatal facility) setting. R Sherwood O&G Specialist, Private Practice.





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