Amnioinfusion

AMNIOINFUSION--

definition-An amnioinfusion is a technique of instilling an isotonic fluid {such as a normal saline or lactated ringer’s solution} into the amniotic cavity  during labor to relieve umbilical cord compression and alleviate fetal distress from severe prolonged variable decelerations in the presence of oligohydramnios.

INDICATIONS�

Fetal heart rate abnormalities
APGAR scores for those with low scores
Asphyxia during time of birth
Decreasing the rates of cesarean birth related with FHR problem

PROCEDURE
The amnio infusion procedure involves the use of an intrauterine pressure catheter (IUPC), or a single or double lumen type of IUPC.

The IUPC has been designed to attain an accurate monitoring of uterine contractions among women in the intrapartum period.

It has a special port from which the saline fluid or lactated ringer’s solution is being injected, passing through the tubing and going its way into the uterus.
An IUPC is inserted through standard technique once the membranes ruptures, and then it is attached to intravenous extension tubing. If IUPC is not available, a pediatric nasogastric tube can be used instead.

Lactated ringer’s solution without dextrose is infused into the amniotic cavity; normal saline can be an acceptable fluid alternative
Assisting Physician with Amnioinfusion
Explain the procedure to the patient.
Assist in dorsal recumbent position. Assist with draping and exposing vaginal area.
 Connect IUPC tubing to IV fluid, flush
Connect the catheter to the monitor cable
Assist physician with insertion of double lumen IUPC and connect IV tubing to the amnioport to begin amnioinfusion.

1. AMNIOINFUSION PRANATI PATRA

2. DEFINITION An amnioinfusion is a technique of instilling an isotonic fluid {such as a normal saline or lactated ringer’s solution} into the amniotic cavity  during labor to relieve umbilical cord compression and alleviate fetal distress from severe prolonged variable decelerations in the presence of oligohydramnios .

3. INDICATIONS Fetal heart rate abnormalities APGAR scores for those with low scores Asphyxia during time of birth Decreasing the rates of cesarean birth related with FHR problem

4. PROCEDURE The amnio infusion procedure involves the use of an intrauterine pressure catheter (IUPC), or a single or double lumen type of IUPC. The IUPC has been designed to attain an accurate monitoring of uterine contractions among women in the intrapartum period. It has a special port from which the saline fluid or lactated ringer’s solution is being injected, passing through the tubing and going its way into the uterus.

5. An IUPC is inserted through standard technique once the membranes ruptures, and then it is attached to intravenous extension tubing. If IUPC is not available, a pediatric nasogastric tube can be used instead . Lactated ringer’s solution without dextrose is infused into the amniotic cavity; normal saline can be an acceptable fluid alternative. PROCEDURE

6. Assisting Physician with Amnioinfusion Explain the procedure to the patient. Assist in dorsal recumbent position. Assist with draping and exposing vaginal area .  Connect IUPC tubing to IV fluid, flush Connect the catheter to the monitor cable Assist physician with insertion of double lumen IUPC and connect IV tubing to the amnioport to begin amnioinfusion .

7. Nursing Responsibilities Monitor fetal heart tones and contraction patterns continuously . Discontinue amnioinfusion if any of the following occur and notify physician: • Decelerations have not been relieved after 500 cc infused . Place patient in trendelenburg if leakage is excessive and/or decelerations have not terminated after 500 cc infusion. • Increasing uterine resting tone • Signs of fetal compromise • Bleeding • Uterine tenderness