Saline solution amnioinfusion for oligohydramnios after premature rupture of the membranes

Article Abstract:

During pregnancy the fetus is contained in a sac filled with amniotic fluid. Leakage of amniotic fluid, or premature rupture of membranes (PROM), can leave the fetus in an unfavorable environment of diminished fluid (oligohydramnios). Pregnancies complicated by PROM and oligohydramnios can result in poor fetal lung development and retarded growth. Conservative management is simple bed rest and patient positioning. However, replacement of the critical volume of amniotic fluid would allow more favorable fetal outcomes. A new indwelling cervical catheter, PROM-fence, uses a small tube to infuse saline solution (similar in composition to amniotic fluid) and antibiotics directly into the fetal amniotic sac. This method successfully increased fluid volume to an adequate level in 10 women between 22 and 32 weeks of pregnancy. No side effects were observed during the procedure. One case of variable deceleration during fetal heart rate was noted. Seven infants developed normally and three died from other causes which were not procedure-related.

Abnormalities, Dosage and administration, Fetal heart rate monitoring, Electronic fetal monitoring, Catheterization, Amniotic fluid, Hydramnios, Fetal diseases, Physiologic salines, Saline solution

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Successful external cephalic version after amnioinfusion in a patient with preterm premature rupture of membranes

Article Abstract:

A patient was scheduled for induction of labor at 34 weeks, after hospitalization subsequent to preterm premature rupture of membranes at 29 weeks. When the fetus was found to be breech with oligohydramnios, amnioinfusion was performed to facilitate external cephalic version, and this successful procedure enabled the patient to deliver vaginally.

Case studies, Diagnosis, Premature rupture of membranes, Premature rupture of the membrane, Amniotic sac, Amnion, Version (Obstetrics)

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Placement of a Word catheter: A resident training model

Article Abstract:

A practical teaching model and training protocol for Word catheter placement in the treatment of a Bartholin gland cyst is developed. A model of the female persineum fashioned from harvested porcine tissue is a suitable instructional aid in the recognition and treatment of a Bartholin cyst.

Health aspects, Cysts, Bartholin's gland, Bartholin's glands

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