TY - JOUR T1 - Valor de la amnioinfusión transcervical intraparto en gestaciones con oligoamnios y membranas íntegras JO - Clínica e Investigación en Ginecología y Obstetricia T2 - AU - Puertas,A. AU - Malde,J. AU - González,R. AU - Navarro,M. AU - Miranda,J.A. SN - 0210573X M3 - 10.1016/S0210-573X(02)77147-5 DO - 10.1016/S0210-573X(02)77147-5 UR - https://www.elsevier.es/es-revista-clinica-e-investigacion-ginecologia-obstetricia-7-articulo-valor-amnioinfusion-transcervical-intraparto-gestaciones-S0210573X02771475 AB - The objective was to determine the value of intrapartum transcervical amnioinfusion on the disminution of neonatal acidosis and the caesarean section rate due to foetal distress in gestants with oligohydramnios not caused by premature rupture of the membranes. An intervention protocol was designed, with randomization of the participants. The study was carried out in the University Hospital «Virgen de las Nieves» in Granada, and the women considered suitable were those who started labour with intact membranes and oligohydramnios, this being defined on an index as amniotic fluid being less than 8. The sample size calculated to be able to conclude the hypothesis was of 56 in each group. The case study group had intrapartum amnioinfusion and foetal monitoring of oxygen saturation and heart rate. The control group had the same protocol, except the amnioinfusion. In both groups acid-base balance of the newborns was measured. In the amnioinfusion group 10.7% had a caesarean section, of which 1.8% were for foetal distress. In the control group the values were, respectively, 17.9%, and 10.7% (pNS). Arterial pH of less than 7.20 at birth was found to be 14.3% in those foetus who had amnioinfusion, and 32.4% in the control (p < 0.05). We conclude that although amnioinfusion was not shown to be useful in reducing caesarean section levels for foetal distress in the sample studied, it did improve foetal metabolic state at birth. ER -