- Ilona T Goldfarb, MD, MPH
Ilona T Goldfarb, MD, MPH
- Instructor in Obstetrics and Gynecology
- Harvard Medical School
Amnioinfusion refers to the instillation of fluid into the amniotic cavity. 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.
This topic will discuss the indications, techniques, and monitoring of transcervical amnioinfusion for management of recurrent variable decelerations in labor. Information on topics related to amniotic fluid and amniocentesis are presented separately.
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