Effect of early amniotomy on the risk of dystocia in nulliparous women

Article Abstract:

Early amniotomy appears to reduce the incidence of dystocia among women in labor but not the rate of cesarean section. Amniotomy is the intentional rupture of the amniotic membranes to speed labor. Dystocia is a marked delay in the progress of labor and is usually treated with oxytocin. Dystocia that does not respond to treatment is the most common reason for cesarean section. Of 925 women who were giving birth for the first time, 462 had an amniotomy early in labor. Overall, dystocia occurred in 34% of the women who had an early amniotomy and in 45% of the women who did not. Twelve percent of the women who underwent early amniotomy had a cesarean section compared with 11% of the other women. There were no significant differences in the incidence of maternal complications between groups.

Care and treatment, Dystocia, Labor, Complicated, Labor complications

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Rapid detection of group B streptococci in pregnant women at delivery

Article Abstract:

A new type of polymerase chain reaction (PCR) called fluorogenic PCR can detect group B streptococci in vaginal fluid samples from pregnant women in less than one hour. In a study of 112 pregnant women in labor who were tested using several techniques, fluorogenic PCR detected 32 of 33 women who had group B streptococci infection, and the results were available within 30 to 45 minutes. Conventional PCR was just as accurate, but took about 1.5 hours. Culturing the samples to see if bacteria grew in the culture media took about 1.5 days.

Diagnosis, Testing, Streptococcal infections, Polymerase chain reaction

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Amniofusion for the prevention of the meconium aspiration syndrome

Article Abstract:

The role of amnioinfusion for the prevention of perinatal death, moderate or severe aspiration syndrome, or both in women who have thick meconium staining of the amniotic fluid is discussed. The results show that for 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 major maternal or neonatal disorders.

United States, Medicinal and Botanical Manufacturing, Medicinals and botanicals, Saline Solution, Health aspects, Infants, Infant mortality, Dosage and administration, Meconium aspiration syndrome, Physiologic salines

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