What are the indications for intrapartum amnioinfusion?
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Evidence-Based Answer: In laboring patients with meconium-stained fluid, amnioinfusion does not alter the overall cesarean section rate or the incidence of meconium aspiration syndrome, although neonatal intensive care unit (NICU) admissions may be reduced. Amnioinfusions do decrease the overall C-section rate in patients with oligohydramnios (SOR: B, systematic reviews of RCTs with heterogeneity). Evidence-based guidelines recommend amnioinfusion to decrease the recurrence of variable decelerations and C-section for abnormal fetal heart rate (FHR) patterns, but not for meconium-stained amniotic fluid, preterm premature rupture of membranes (PPROM), or for prevention of pulmonary hypoplasia in very preterm PPROM (SOR: B, evidence-based guideline).
Evidence Based Practice 16(10): 07-08