دورية أكاديمية
Intrapartum care algorithms for liquor abnormalities: oligohydramnios, meconium, blood and purulent discharge.
العنوان: | Intrapartum care algorithms for liquor abnormalities: oligohydramnios, meconium, blood and purulent discharge. |
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المؤلفون: | Liabsuetrakul T; Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand., Meher S; The Fetal Medicine Centre, Birmingham Women's and Children's Foundation Trust, Edgbaston, Birmingham, UK.; Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK. |
مؤلفون مشاركون: | WHO Intrapartum Care Algorithms Working Group |
المصدر: | BJOG : an international journal of obstetrics and gynaecology [BJOG] 2024 Aug; Vol. 131 Suppl 2, pp. 90-101. Date of Electronic Publication: 2022 Apr 12. |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 100935741 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-0528 (Electronic) Linking ISSN: 14700328 NLM ISO Abbreviation: BJOG Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Original Publication: Oxford [England] : Blackwell Science, [2000]- |
مواضيع طبية MeSH: | Algorithms* , Meconium* , Oligohydramnios*/therapy , Oligohydramnios*/diagnosis , Amniotic Fluid*, Humans ; Female ; Pregnancy ; Vaginal Discharge ; Uterine Hemorrhage/therapy ; Uterine Hemorrhage/diagnosis ; Uterine Hemorrhage/etiology ; Obstetric Labor Complications/diagnosis ; Obstetric Labor Complications/therapy |
مستخلص: | Aim: To construct evidence-based algorithms for the assessment and management of common amniotic fluid abnormalities detected during labour. Population: Low-risk singleton, term pregnant women in labour. Setting: Birth facilities in low- and middle-income countries. Search Strategy: We searched international guidelines published by the American College of Obstetricians and Gynecologists (ACOG), the National Institute for Health and Care Excellence (NICE), the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), the Royal College of Obstetricians and Gynaecologists (RCOG), the Society of Obstetrics and Gynaecology (SOGC) and the World Health Organization (WHO). We also searched The Cochrane Library and MEDLINE up to 20 January 2020 using keywords for relevant systematic reviews and randomised trials. Case Scenarios: We developed evidence-based intrapartum care algorithms for four case scenarios: oligohydramnios; meconium-stained amniotic fluid; bloody amniotic fluid or vaginal bleeding; and purulent amniotic fluid or discharge. These conditions may be associated with fetal and /or maternal morbidity. Differential diagnosis includes uteroplacental insufficiency, fetal growth restriction, fetal distress, abruption, placenta or vasa praevia, uterine rupture and intra-amniotic infection, respectively. Algorithms include how to assess for, diagnose and manage these conditions. Conclusions: Four algorithms are presented, to provide a systematic approach and guidance on the clinical management for the following amniotic fluid abnormalities: oligohydramnios; meconium-stained liquor; bloody amniotic fluid or vaginal bleeding; and purulent amniotic fluid or discharge. These algorithms may be beneficial in supporting clinical decision making, particularly in low-resource settings. Tweetable Abstract: Evidence based algorithms for management of common amniotic fluid abnormalities seen during labour. (© 2022 John Wiley & Sons Ltd.) |
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معلومات مُعتمدة: | United States Agency for International Development; UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction; OPP1084318 United States GATES Bill & Melinda Gates Foundation; International WHO_ World Health Organization |
فهرسة مساهمة: | Investigator: L Ciabati; LL De Oliveira; R Souza; J Browne; M Rijken; S Fawcus; J Hofmeyr; T Liabsuetrakul; Ç Gülümser; A Blennerhassett; D Lissauer; S Meher; F Althabe; M Bonet; A Metin Gülmezoglu; O Oladapo Keywords: Amniotic fluid; bleeding; chorioamnionitis; intrapartum; liquor; meconium; oligohydramnios |
تواريخ الأحداث: | Date Created: 20220413 Date Completed: 20240823 Latest Revision: 20240823 |
رمز التحديث: | 20240823 |
DOI: | 10.1111/1471-0528.16728 |
PMID: | 35415944 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1471-0528 |
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DOI: | 10.1111/1471-0528.16728 |