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Re: amnio-infusionFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon Aug 16 16:28:44 1999
When I last reviewed the literature on amnioinfusion there were 2 or 3 papers where Trans abdominal amnioinfusion was done in cases like this. Once the fluid was infused, an extensive ultrasound was done. If no anomalies were found, then repeat amnioinfusions were done as needed. I have personally done a trans abdominal amnioinfusion in a severe oligo(an)hydramniotic 16 week gestation. It was a lot easier than I thought it would be. As the needle approaches the fetus, just push a little saline throught the needle as you advance it. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 International Representative for United States OBGYN.net -----Original Message----- From: Malcolm Griffiths [mailto:Malcolm@MGRIFF22.demon.co.uk] Sent: Wednesday, August 11, 1999 1:37 PM To: Multiple recipients of list OB-GYN-L Subject: Re: amnio-infusion
In message <199908111632.LAA07539@talk.obgyn.net>, jyothi unni
<unni@wmi.co.in> writes
>My patient is a 30 year old primigravida at 28 weeks gestation with Surely the decision to deliver is on the basis of either fetal or maternal condition. Pre-eclampsia at 28 weeks is likely to obligate delivery and is not going to be helped by amnio-infusion. Amnio-infusion can only be aimed at helping the fetal condition, and I confess to having no personal experience of its use, but you haven't given any indication of fetal condition. I can see little point in "treating" oligohydramnios. How do you propse to amnio-infuse? Transcervically or abdominally? If there is very severe oligo will you be able to do this safely T/A? Finally have you established the cause of the severe oligohydramnios? Is it just part of severe IUGR? Is there a congenital abnormality? Was there very early ROM?
--
Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK.
Tel: 01582-497459 (office) Fax: 01582-497376
01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk
http://www.obgyn.net/board/griffith.htm
"EXPERIENCE: SOMETHING YOU DON'T HAVE UNTIL AFTER YOU NEEDED IT!"
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