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From UpToDate:

•Procedure and indications – Amnioinfusion, or the instillation of fluid into the amniotic cavity, is indicated for persistent variable decelerations seen on fetal heart rate tracings during labor or for meconium-stained amniotic fluid. As with all procedures, patients undergoing amnioinfusion are consented for treatment. Antibiotic prophylaxis is not indicated.

•Protocols – Protocols for amnioinfusion vary across institutions. There is no evidence that any one method is superior in terms of safety, efficacy, or complications rates.

•Monitoring – During transcervical amnioinfusion, we routinely monitor the infusion rate, fetal heart rate, fluid per vagina, and maternal respiratory status.

•Risks and complications – The main risk of amnioinfusion is that it may not resolve a concerning fetal heart rate tracing. Rare complications have been reported including cord prolapse, although it is not clear if the amnioinfusion was the cause. #amnioinfusion #birth #childbirth #laboranddelivery #greenscreen