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    Amnioinfusion and Amniocentesis

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    Pratima Amin
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    Amnioinfusion and Amniocentesis

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    Pratima Amin
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    the procedure of amnioinfusion and amniocentesis pdf

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    amnioinfusion and amniocentesis

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    the procedure of amnioinfusion and amniocentesis pdf

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    Amnioinfusion and Amniocentesis

    Uploaded by

    Pratima Amin
    the procedure of amnioinfusion and amniocentesis pdf

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    In the branch of Obstetrics and Gynaecology, advanced procedures like amnioinfusion and

    amnioreduction/amniocentesis play pivotal roles in the management of specific clinical


    scenarios. These interventions involve the manipulation of amniotic fluid in order to resolve
    complications related to certain pathophysiologies.

    1. Amnioinfusion:
    Definition: Amnioinfusion refers to the introduction of sterile fluid into the amniotic cavity
    during labor The rationale is that augmenting amniotic fluid volume may decrease or
    eliminate problems associated with a severe reduction or absence of amniotic fluid, such as
    severe variable decelerations during labor. The procedure can be performed by transcervical
    or transabdominal routes. Transcervical amnioinfusion for the treatment of recurrent variable
    decelerations is the most common indication. Other possible uses include transabdominal
    amnioinfusion to aid in ultrasound diagnosis or to aid external cephalic version, although
    supporting data are lacking.
    Indications:
     Oligohydramnios
     Variable Decelerations: Alleviates umbilical cord compression during labor.
     Fetal Distress
     Prevention of Cord Compression: Aids in maintaining a cushion around the cord.
    Criteria:
     Amnioinfusion is considered when monitoring reveals reduced amniotic fluid levels
    and is often guided by electronic fetal monitoring (EFM).
    Procedure:
     A catheter is inserted transcervically into the amniotic cavity, and sterile fluid (such as
    normal saline) is infused gradually, monitoring the amniotic fluid index and fetal
    response.
    Contraindications:
     Chorioamnionitis
     Placenta Previa
     Nonreassuring Fetal Status
    Amnioinfusion aims to improve fetal oxygenation and reduce the risk of variable
    decelerations. The prognosis is generally favorable when used judiciously in appropriate
    clinical scenarios.
    Nursing Care:
     Preparing the patient physically and emotionally.
     Monitoring maternal vital signs.
     Assisting with the insertion of the catheter.
     Observing for signs of infection post-procedure.

    2. Amnioreduction/Amniocentesis:
    Definition: Amnioreduction, also known as amniocentesis, involves the removal of excess
    amniotic fluid, typically performed in cases of polyhydramnios.
    Indications:
     Polyhydramnios
     Prevention of Premature Labor: In cases where polyhydramnios may cause uterine
    distention.
     Fetal Anomaly Testing: Genetic testing for congenital abnormalities.
    Criteria:
     Amnioreduction is indicated when polyhydramnios is severe, causing maternal
    discomfort or increasing the risk of complications.
    Procedure:
     Under ultrasound guidance, a needle is inserted into the amniotic cavity, and excess
    fluid is withdrawn. This procedure requires meticulous monitoring to prevent
    complications.
    Contraindications:
     Fetal Bleeding Disorders: Risk of fetal hemorrhage.
     Preterm Premature Rupture of Membranes (PPROM): Increased risk of premature
    labor.
     Maternal Coagulopathy: Impaired blood clotting.
    Prognosis:
    Amnioreduction aims to alleviate symptoms associated with polyhydramnios, prevent
    complications, and facilitate optimal fetal positioning. The prognosis is favorable when
    performed under appropriate clinical circumstances.
    Nursing Care:
     Educating the patient about the procedure and its purpose.
     Assisting with positioning during the procedure.
     Monitoring for signs of complications, such as bleeding or infection.
     Providing emotional support and counseling.
    In conclusion, understanding the indications, criteria, procedures, contraindications,
    prognosis, and nursing care for amnioinfusion and amnioreduction/amniocentesis is crucial
    for comprehensive obstetric care. These interventions contribute significantly to the
    management of amniotic fluid-related complications, promoting the well-being of both the
    mother and the fetus.

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