Amnioinfusion for the Prevention of the Meconium Aspiration Syndrome
This large randomized trial showed that, among women in labor who have thick meconium staining of the amniotic fluid, amnioinfusion (infusion of saline into the amniotic cavity) did not reduce the risk of moderate or severe meconium aspiration syndrome, perinatal death, or other major maternal or ne...
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| Veröffentlicht in: | The New England journal of medicine 2005-09, Vol.353 (9), p.909-917 |
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| creator | Fraser, William D Hofmeyr, Justus Lede, Roberto Faron, Gilles Alexander, Sophie Goffinet, François Ohlsson, Arne Goulet, Céline Turcot-Lemay, Lucile Prendiville, Walter Marcoux, Sylvie Laperrière, Louise Roy, Chantal Petrou, Stavros Xu, Hai-Rong Wei, Bin |
| description | This large randomized trial showed that, among women in labor who have thick meconium staining of the amniotic fluid, amnioinfusion (infusion of saline into the amniotic cavity) did not reduce the risk of moderate or severe meconium aspiration syndrome, perinatal death, or other major maternal or neonatal morbidity. These data suggest no benefit to amnioinfusion, at least in settings with resources for fetal heart-rate monitoring and resuscitation, as in this trial.
Among women in labor who have thick meconium staining of the amniotic fluid, amnioinfusion did not reduce the risk of moderate or severe meconium aspiration syndrome, perinatal death, or other major maternal or neonatal morbidity.
Meconium-stained amniotic fluid occurs in 7 to 22 percent of term deliveries,
1
,
2
and the meconium aspiration syndrome complicates 1.7 to 35.8 percent of these deliveries.
3
–
8
The case fatality rate of the meconium aspiration syndrome is reported to range from 5 to 40 percent.
4
,
9
–
11
The meconium aspiration syndrome is believed to result from aspiration of meconium during intrauterine gasping or at the first breath. Prophylactic pharyngeal suctioning and tracheal aspiration have not been shown to reduce the risk of the meconium aspiration syndrome.
4
Amnioinfusion, or transcervical infusion of saline into the amniotic cavity, has been proposed as . . . |
| doi_str_mv | 10.1056/NEJMoa050223 |
| format | Article |
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Among women in labor who have thick meconium staining of the amniotic fluid, amnioinfusion did not reduce the risk of moderate or severe meconium aspiration syndrome, perinatal death, or other major maternal or neonatal morbidity.
Meconium-stained amniotic fluid occurs in 7 to 22 percent of term deliveries,
1
,
2
and the meconium aspiration syndrome complicates 1.7 to 35.8 percent of these deliveries.
3
–
8
The case fatality rate of the meconium aspiration syndrome is reported to range from 5 to 40 percent.
4
,
9
–
11
The meconium aspiration syndrome is believed to result from aspiration of meconium during intrauterine gasping or at the first breath. Prophylactic pharyngeal suctioning and tracheal aspiration have not been shown to reduce the risk of the meconium aspiration syndrome.
4
Amnioinfusion, or transcervical infusion of saline into the amniotic cavity, has been proposed as . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMoa050223</identifier><identifier>PMID: 16135835</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Amniotic Fluid ; Biological and medical sciences ; Body fluids ; Childbirth & labor ; Female ; Fetal Distress ; General aspects ; Health risk assessment ; Humans ; Infant Mortality ; Infant, Newborn ; Infant, Newborn, Diseases - prevention & control ; Infusions, Parenteral ; Meconium Aspiration Syndrome - prevention & control ; Medical disorders ; Medical sciences ; Obstetric Labor Complications - therapy ; Pneumology ; Pregnancy ; Pregnancy Outcome ; Respiratory system : syndromes and miscellaneous diseases ; Sodium Chloride - therapeutic use ; Treatment Failure ; Women</subject><ispartof>The New England journal of medicine, 2005-09, Vol.353 (9), p.909-917</ispartof><rights>Copyright © 2005 Massachusetts Medical Society. All rights reserved.</rights><rights>2005 INIST-CNRS</rights><rights>Copyright 2005 Massachusetts Medical Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c566t-61910cb1df17247941408ecdbd8891339a7b9c0b4dba2547b11328fb318545ce3</citedby><cites>FETCH-LOGICAL-c566t-61910cb1df17247941408ecdbd8891339a7b9c0b4dba2547b11328fb318545ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMoa050223$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/223937030?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17065917$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16135835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fraser, William D</creatorcontrib><creatorcontrib>Hofmeyr, Justus</creatorcontrib><creatorcontrib>Lede, Roberto</creatorcontrib><creatorcontrib>Faron, Gilles</creatorcontrib><creatorcontrib>Alexander, Sophie</creatorcontrib><creatorcontrib>Goffinet, François</creatorcontrib><creatorcontrib>Ohlsson, Arne</creatorcontrib><creatorcontrib>Goulet, Céline</creatorcontrib><creatorcontrib>Turcot-Lemay, Lucile</creatorcontrib><creatorcontrib>Prendiville, Walter</creatorcontrib><creatorcontrib>Marcoux, Sylvie</creatorcontrib><creatorcontrib>Laperrière, Louise</creatorcontrib><creatorcontrib>Roy, Chantal</creatorcontrib><creatorcontrib>Petrou, Stavros</creatorcontrib><creatorcontrib>Xu, Hai-Rong</creatorcontrib><creatorcontrib>Wei, Bin</creatorcontrib><creatorcontrib>Amnioinfusion Trial Group</creatorcontrib><title>Amnioinfusion for the Prevention of the Meconium Aspiration Syndrome</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>This large randomized trial showed that, among women in labor who have thick meconium staining of the amniotic fluid, amnioinfusion (infusion of saline into the amniotic cavity) did not reduce the risk of moderate or severe meconium aspiration syndrome, perinatal death, or other major maternal or neonatal morbidity. These data suggest no benefit to amnioinfusion, at least in settings with resources for fetal heart-rate monitoring and resuscitation, as in this trial.
Among women in labor who have thick meconium staining of the amniotic fluid, amnioinfusion did not reduce the risk of moderate or severe meconium aspiration syndrome, perinatal death, or other major maternal or neonatal morbidity.
Meconium-stained amniotic fluid occurs in 7 to 22 percent of term deliveries,
1
,
2
and the meconium aspiration syndrome complicates 1.7 to 35.8 percent of these deliveries.
3
–
8
The case fatality rate of the meconium aspiration syndrome is reported to range from 5 to 40 percent.
4
,
9
–
11
The meconium aspiration syndrome is believed to result from aspiration of meconium during intrauterine gasping or at the first breath. Prophylactic pharyngeal suctioning and tracheal aspiration have not been shown to reduce the risk of the meconium aspiration syndrome.
4
Amnioinfusion, or transcervical infusion of saline into the amniotic cavity, has been proposed as . . .</description><subject>Amniotic Fluid</subject><subject>Biological and medical sciences</subject><subject>Body fluids</subject><subject>Childbirth & labor</subject><subject>Female</subject><subject>Fetal Distress</subject><subject>General aspects</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - prevention & control</subject><subject>Infusions, Parenteral</subject><subject>Meconium Aspiration Syndrome - prevention & control</subject><subject>Medical disorders</subject><subject>Medical sciences</subject><subject>Obstetric Labor Complications - therapy</subject><subject>Pneumology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Sodium Chloride - therapeutic use</subject><subject>Treatment Failure</subject><subject>Women</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0FtLwzAUB_AgipvTN5-liPpkNae5tH0cc97YVFCfS5qm2NEkM1mFfXuzCyhiXgInP07O-SN0DPgKMOPXT-PHqRWY4SQhO6gPjJCYUsx3UR_jJItpmpMeOvB-hsMBmu-jHnAgLCOsj26G2jS2MXXnG2ui2rpo8aGiF6e-lFmsSrZeV6ZKWtN0Ohr6eePE-ul1aSpntTpEe7VovTra3gP0fjt-G93Hk-e7h9FwEkvG-SLmkAOWJVQ1pEkYiwLFmZJVWWVZDoTkIi1ziUtalSJhNC0BSJLVJYGMUSYVGaCLTd-5s5-d8otCN16qthVG2c4XPDiOw2IDdPoHzmznTJitCCnlJMUEB3S5QdJZ752qi7lrtHDLAnCxirb4HW3gJ9ueXalV9YO3WQZwvgXCS9HWThjZ-B-XYs5ySIM72zitfWHUTP__3zfLTopr</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>Fraser, William D</creator><creator>Hofmeyr, Justus</creator><creator>Lede, Roberto</creator><creator>Faron, Gilles</creator><creator>Alexander, Sophie</creator><creator>Goffinet, François</creator><creator>Ohlsson, Arne</creator><creator>Goulet, Céline</creator><creator>Turcot-Lemay, Lucile</creator><creator>Prendiville, Walter</creator><creator>Marcoux, Sylvie</creator><creator>Laperrière, Louise</creator><creator>Roy, Chantal</creator><creator>Petrou, Stavros</creator><creator>Xu, Hai-Rong</creator><creator>Wei, Bin</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20050901</creationdate><title>Amnioinfusion for the Prevention of the Meconium Aspiration Syndrome</title><author>Fraser, William D ; Hofmeyr, Justus ; Lede, Roberto ; Faron, Gilles ; Alexander, Sophie ; Goffinet, François ; Ohlsson, Arne ; Goulet, Céline ; Turcot-Lemay, Lucile ; Prendiville, Walter ; Marcoux, Sylvie ; Laperrière, Louise ; Roy, Chantal ; Petrou, Stavros ; Xu, Hai-Rong ; Wei, Bin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c566t-61910cb1df17247941408ecdbd8891339a7b9c0b4dba2547b11328fb318545ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Amniotic Fluid</topic><topic>Biological and medical sciences</topic><topic>Body fluids</topic><topic>Childbirth & labor</topic><topic>Female</topic><topic>Fetal Distress</topic><topic>General aspects</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - prevention & control</topic><topic>Infusions, Parenteral</topic><topic>Meconium Aspiration Syndrome - prevention & control</topic><topic>Medical disorders</topic><topic>Medical sciences</topic><topic>Obstetric Labor Complications - therapy</topic><topic>Pneumology</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Sodium Chloride - therapeutic use</topic><topic>Treatment Failure</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fraser, William D</creatorcontrib><creatorcontrib>Hofmeyr, Justus</creatorcontrib><creatorcontrib>Lede, Roberto</creatorcontrib><creatorcontrib>Faron, Gilles</creatorcontrib><creatorcontrib>Alexander, Sophie</creatorcontrib><creatorcontrib>Goffinet, François</creatorcontrib><creatorcontrib>Ohlsson, Arne</creatorcontrib><creatorcontrib>Goulet, Céline</creatorcontrib><creatorcontrib>Turcot-Lemay, Lucile</creatorcontrib><creatorcontrib>Prendiville, Walter</creatorcontrib><creatorcontrib>Marcoux, Sylvie</creatorcontrib><creatorcontrib>Laperrière, Louise</creatorcontrib><creatorcontrib>Roy, Chantal</creatorcontrib><creatorcontrib>Petrou, Stavros</creatorcontrib><creatorcontrib>Xu, Hai-Rong</creatorcontrib><creatorcontrib>Wei, Bin</creatorcontrib><creatorcontrib>Amnioinfusion Trial Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fraser, William D</au><au>Hofmeyr, Justus</au><au>Lede, Roberto</au><au>Faron, Gilles</au><au>Alexander, Sophie</au><au>Goffinet, François</au><au>Ohlsson, Arne</au><au>Goulet, Céline</au><au>Turcot-Lemay, Lucile</au><au>Prendiville, Walter</au><au>Marcoux, Sylvie</au><au>Laperrière, Louise</au><au>Roy, Chantal</au><au>Petrou, Stavros</au><au>Xu, Hai-Rong</au><au>Wei, Bin</au><aucorp>Amnioinfusion Trial Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Amnioinfusion for the Prevention of the Meconium Aspiration Syndrome</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>353</volume><issue>9</issue><spage>909</spage><epage>917</epage><pages>909-917</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>This large randomized trial showed that, among women in labor who have thick meconium staining of the amniotic fluid, amnioinfusion (infusion of saline into the amniotic cavity) did not reduce the risk of moderate or severe meconium aspiration syndrome, perinatal death, or other major maternal or neonatal morbidity. These data suggest no benefit to amnioinfusion, at least in settings with resources for fetal heart-rate monitoring and resuscitation, as in this trial.
Among women in labor who have thick meconium staining of the amniotic fluid, amnioinfusion did not reduce the risk of moderate or severe meconium aspiration syndrome, perinatal death, or other major maternal or neonatal morbidity.
Meconium-stained amniotic fluid occurs in 7 to 22 percent of term deliveries,
1
,
2
and the meconium aspiration syndrome complicates 1.7 to 35.8 percent of these deliveries.
3
–
8
The case fatality rate of the meconium aspiration syndrome is reported to range from 5 to 40 percent.
4
,
9
–
11
The meconium aspiration syndrome is believed to result from aspiration of meconium during intrauterine gasping or at the first breath. Prophylactic pharyngeal suctioning and tracheal aspiration have not been shown to reduce the risk of the meconium aspiration syndrome.
4
Amnioinfusion, or transcervical infusion of saline into the amniotic cavity, has been proposed as . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>16135835</pmid><doi>10.1056/NEJMoa050223</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | The New England journal of medicine, 2005-09, Vol.353 (9), p.909-917 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Amniotic Fluid Biological and medical sciences Body fluids Childbirth & labor Female Fetal Distress General aspects Health risk assessment Humans Infant Mortality Infant, Newborn Infant, Newborn, Diseases - prevention & control Infusions, Parenteral Meconium Aspiration Syndrome - prevention & control Medical disorders Medical sciences Obstetric Labor Complications - therapy Pneumology Pregnancy Pregnancy Outcome Respiratory system : syndromes and miscellaneous diseases Sodium Chloride - therapeutic use Treatment Failure Women |
| title | Amnioinfusion for the Prevention of the Meconium Aspiration Syndrome |
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