A randomized clinical trial of the intrapartum assessment of amniotic fluid volume : amniotic fluid index versus the single deepest pocket technique
OBJECTIVE: The purpose of this study was to determine whether an intrapartum assessment of amniotic fluid identifies a pregnancy that is at risk for an adverse outcome.
STUDY DESIGN: Parturients who were admitted for delivery were assigned randomly to have the amniotic fluid assessed either by amniotic fluid index or by the presence of a 2 x 1 pocket.
RESULTS: The amniotic fluid index was obtained in 499 pregnancies, and the 2 x 1 technique was performed in 501. Oligohydramnios was diagnosed in 25% of amniotic fluid index pregnancies versus 8% with the use of the 2 x 1 pocket technique (P <.001). Both techniques failed to identify patients who underwent an amnioinfusion for fetal distress (P=.864) or who experienced variable (P=.208) or late decelerations (P=.210) that influenced delivery, fetal distress in labor (P=.220), caesarean delivery for fetal distress (P=.133), and admission to neonatal intensive care unit (P=.686).
CONCLUSION: Neither the amniotic fluid index nor the 2 x 1 pocket technique that was undertaken as a fetal admission test identifies a pregnancy that is at risk for an adverse outcome.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2004 |
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| Erschienen: |
2004 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:190 |
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| Enthalten in: |
American journal of obstetrics and gynecology - 190(2004), 6 vom: 01. Juni, Seite 1564-9; discussion 1569-70 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Moses, Jennifer [VerfasserIn] |
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| Themen: |
Clinical Trial |
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| Anmerkungen: |
Date Completed 19.08.2004 Date Revised 24.11.2016 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM149670435 |
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| 041 | |a eng | ||
| 100 | 1 | |a Moses, Jennifer |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A randomized clinical trial of the intrapartum assessment of amniotic fluid volume |b amniotic fluid index versus the single deepest pocket technique |
| 264 | 1 | |c 2004 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a Date Completed 19.08.2004 | ||
| 500 | |a Date Revised 24.11.2016 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: The purpose of this study was to determine whether an intrapartum assessment of amniotic fluid identifies a pregnancy that is at risk for an adverse outcome | ||
| 520 | |a STUDY DESIGN: Parturients who were admitted for delivery were assigned randomly to have the amniotic fluid assessed either by amniotic fluid index or by the presence of a 2 x 1 pocket | ||
| 520 | |a RESULTS: The amniotic fluid index was obtained in 499 pregnancies, and the 2 x 1 technique was performed in 501. Oligohydramnios was diagnosed in 25% of amniotic fluid index pregnancies versus 8% with the use of the 2 x 1 pocket technique (P <.001). Both techniques failed to identify patients who underwent an amnioinfusion for fetal distress (P=.864) or who experienced variable (P=.208) or late decelerations (P=.210) that influenced delivery, fetal distress in labor (P=.220), caesarean delivery for fetal distress (P=.133), and admission to neonatal intensive care unit (P=.686) | ||
| 520 | |a CONCLUSION: Neither the amniotic fluid index nor the 2 x 1 pocket technique that was undertaken as a fetal admission test identifies a pregnancy that is at risk for an adverse outcome | ||
| 650 | 4 | |a Clinical Trial | |
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 700 | 1 | |a Doherty, Dorota A |e verfasserin |4 aut | |
| 700 | 1 | |a Magann, Everett F |e verfasserin |4 aut | |
| 700 | 1 | |a Chauhan, Suneet P |e verfasserin |4 aut | |
| 700 | 1 | |a Morrison, John C |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t American journal of obstetrics and gynecology |d 1945 |g 190(2004), 6 vom: 01. Juni, Seite 1564-9; discussion 1569-70 |w (DE-627)NLM000012343 |x 1097-6868 |7 nnns |
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