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AWHONN also publishes multiple evidence-based nursing guidelines for use by nurses caring for women and newborns. These evidence-based guidelines cover topics like fetal heart rate monitoring , labor induction , neonatal skin care, [ 4 ] care of the late preterm infant, [ 5 ] breastfeeding , HPV counseling, neonatal hyperbilirubinemia , nursing ...
Amnioinfusion is a method in which isotonic fluid is instilled into the uterine cavity.. It was introduced in the 1960s as a means of terminating pregnancy and inducing labor in intrauterine death, but is currently used as a treatment in order to correct fetal heart rate changes caused by umbilical cord compression, indicated by variable decelerations seen on fetal heart rate monitoring.
One study showed an improvement in fetal structure visibility by 26% (51% to 77% before and after the infusion respectively). There is also some low quality data that may indicate a potential benefit of amnioinfusion is to facilitate external cephalic version. [2] Amnioinfusion can be used during labor to prevent umbilical cord compression.
Amnioinfusion: This treatment attempts to replace the lost amniotic fluid from the uterus by infusing normal saline fluid into the uterine cavity. This can be done through the vagina and cervix (transcervical amnioinfusion) or by passing a needle through the abdominal wall (transabdominal amnioinfusion).
Oligohydramnios can sometimes be treated with bed rest, oral and intravenous hydration, antibiotics, steroids, and amnioinfusion. [citation needed] The opposite of oligohydramnios is polyhydramnios, an excess volume of amniotic fluid in the amniotic sac. Amniotic fluid embolism is a rare but very often fatal condition for both mother and child.
Umbilical cord compression may be relieved by the mother switching to another position or through maternal hydration. Secondary treatments include amnioinfusion. In persistent severe signs of fetal distress, Cesarean section may be needed.
Meconium aspiration syndrome (MAS), also known as neonatal aspiration of meconium, is a medical condition affecting newborn infants.It describes the spectrum of disorders and pathophysiology of newborns born in meconium-stained amniotic fluid (MSAF) and have meconium within their lungs.
Circumvallate placenta is a rare condition affecting about 1-2% of pregnancies, in which the amnion and chorion fetal membranes essentially "double back" on the fetal side around the edges of the placenta. [1]