دورية أكاديمية

Intrapartum care algorithms for liquor abnormalities: oligohydramnios, meconium, blood and purulent discharge.

التفاصيل البيبلوغرافية
العنوان: Intrapartum care algorithms for liquor abnormalities: oligohydramnios, meconium, blood and purulent discharge.
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: : Oxford : Wiley-Blackwell
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.)
References: Dubil EA, Magann EF. Amniotic fluid as a vital sign for fetal wellbeing. Australas J Ultrasound Med 2013;16:62–70.
Fischer RL. Amniotic fluid: physiology and assessment. Glob Libr Womens Med [Internet]. 2009 [http://www.glowm.com/index.html?p=glowm.cml/section_view&articleid=208]. Accessed 2 June 2019.
Hou L, Wang X, Hellerstein S, Zou L, Ruan Y, Zhang W. Delivery mode and perinatal outcomes after diagnosis of oligohydramnios at term in China. J Matern Fetal Neonatal Med 2020;33:2408–14.
Rabinovich A, Holtzman K, Shoham‐Vardi I, Mazor M, Erez O. Oligohydramnios is an independent risk factor for perinatal morbidity among women with pre‐eclampsia who delivered preterm. J Matern Fetal Neonatal Med 2019;32:1776–82.
Shrestha A, Singh SD, Tamrakar D. Associated factors and outcome of babies born through meconium stained amniotic fluid. Kathmandu Univ Med J KUMJ 2018;16:65–8.
Rodríguez Fernández V, López Ramón y Cajal CN, Marín Ortiz E, Couceiro Naveira E. Intrapartum and perinatal results associated with different degrees of staining of meconium stained amniotic fluid. Eur J Obstet Gynecol Reprod Biol 2018;228:65–70.
Paz Levy D, Walfisch A, Wainstock T, Sergienko R, Kluwgant D, Landau D, et al. Meconium‐stained amniotic fluid exposure is associated with a lower incidence of offspring long‐term infectious morbidity. Am J Reprod Immunol 2019;81:e13108.
Addisu D, Asres A, Gedefaw G, Asmer S. Prevalence of meconium stained amniotic fluid and its associated factors among women who gave birth at term in Felege Hiwot comprehensive specialized referral hospital, North West Ethiopia: a facility based cross‐sectional study. BMC Pregnancy Childbirth 2018;18:429.
Kim HI, Choo SP, Han SW, Kim EH. Benefits and risks of induction of labor at 39 or more weeks in uncomplicated nulliparous women: a retrospective, observational study. Obstet Gynecol Sci 2019;62:19.
Gluck O, Kovo M, Tairy D, Barda G, Bar J, Weiner E. Bloody amniotic fluid during labor – prevalence, and association with placental abruption, neonatal morbidity, and adverse pregnancy outcomes. Eur J Obstet Gynecol Reprod Biol 2019;234:103–7.
McClellan ER, Hover A, Moore M, Spaleny J, Singh S, Rodriguez L, et al. Evidence‐based interventions to reduce obstetric‐related infections at an army training facility. Am J Infect Control 2019;47:558–64.
Palmsten K, Nelson KK, Laurent LC, Park S, Chambers CD, Parast MM. Subclinical and clinical chorioamnionitis, fetal vasculitis, and risk for preterm birth: a cohort study. Placenta 2018;67:54–60.
Venkatesh K, Glover A, Vladutiu C, Stamilio D. Association of chorioamnionitis and its duration with adverse maternal outcomes by mode of delivery: a cohort study. BJOG Int J Obstet Gynaecol 2019;126:719–27.
Sox HC, Stewart WF. Algorithms, clinical practice guidelines, and standardized clinical assessment and management plans: evidence‐based patient management standards in evolution. Acad Med 2015;90:129–32.
Souza JP, Oladapo OT, Bohren MA, Mugerwa K, Fawole B, Moscovici L, et al. The development of a Simplified, Effective, Labour Monitoring‐to‐Action (SELMA) tool for Better Outcomes in Labour Difficulty (BOLD): study protocol. Reprod Health 2015;12:49.
Bonet M, Ciabati L, De Oliveira LL, Souza R, Browne JL, Rijken M, et al. Constructing evidence‐based clinical intrapartum care algorithms for decision‐support tools. BJOG. 2021. https://doi.org/10.1111/1471‐0528.16958.
ACOG. Ultrasound in pregnancy. Practice Bulletin No. 175. Obstet Gynecol 2016;128:e241–56.
Payne J. Oligohydramnios. London, UK: National Institute for Health and Care Excellence; 2016 [Internet] [https://www.evidence.nhs.uk/search?q=oligohydramnios&sp=onOligohydramnios‐NICE.pdf]. Accessed 21 October 2018.
Leeman L, Almond D. Isolated oligohydramnios at term: is induction indicated? J Fam Pract 2015;54:25–32.
Buchmann E, Adam Y, Jeebodh J, Madondo N, Marinda E. Clinical abdominal palpation for predicting oligohydramnios in suspected prolonged pregnancy. South Afr J Obstet Gynaecol 2013;19:71–4.
Lim K, Butt K, Naud K, Smithies M. Amniotic fluid: technical update on physiology and measurement. J Obstet Gynaecol Can 2017;39:52–8.
Mathai M, Engelbrecht SM, Bonet M, World Health Organization, UNICEF, United Nations Fund for Population Activities. Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors. Geneva, Switzerland: WHO; 2017.
NICE. Intrapartum Care for Healthy Women and Babies. Clinical Guideline CG190. London, UK: NICE; 2014.
ACOG Practice Bulletin No. 199. Use of prophylactic antibiotics in labor and delivery. Obstet Gynecol 2018;132:e103–19.
WHO. Pregnancy, Childbirth, Postpartum and Newborn Care A Guide for Essential Practice. Geneva, Switzerland: WHO; 2015.
Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Intrapartum Fetal Surveillance: Clinical Guideline. Melbourne, Vic: RANCOG; 2014.
Cheung KW, Bonet M, Frank KA, Oladapo OT, Hofmeyr GJ, the WHO Intrapartum Care Algorithms Working Group. Clinical algorithm for management of fetal heart rate abnormalities during labour. BJOG. 2021. https://doi.org/10.1111/1471‐0528.16731.
Novikova N, Hofmeyr GJ, Essilfie‐Appiah G. Prophylactic versus therapeutic amnioinfusion for oligohydramnios in labour. Cochrane Database Syst Rev 2012;2012:CD000176.
Hofmeyr GJ, Gülmezoglu AM. Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume. Cochrane Database Syst Rev 2002;2002:CD000134.
ACOG. Clinical management guidelines for obstetrician‐gynecologists. Number 721, 2017: intrapartum management of intraamniotic infection. Obstet Gynecol 2017;2003:875–82.
Browne J, Rijken M, Bonet M. Intrapartum care algorithms for normal labour and childbirth. BJOG WHO supplement 2020 (under review).
ACOG. Clinical management guidelines for obstetrician‐gynecologists. Number 689, 2017: Delivery of a newborn with meconium‐stained amniotic fluid. Obstet Gynecol 2017;2003:e33–4.
Siriwachirachai T, Sangkomkamhang U, Lumbiganon P, Laopaiboon M. Antibiotics for meconium‐stained amniotic fluid in labour for preventing maternal and neonatal infections. Cochrane Database Syst Rev 2014;2014:CD007772.
Hofmeyr G, Xu H, Eke A. Amnioinfusion for meconium‐stained liquor in labour. Cochrane Database Syst Rev 2014;2014:CD000014.
Roggensack A, Jefferies AL, Farine D, Farine D, Basso M, Delisle M‐F, et al. Management of meconium at birth. J Obstet Gynaecol Can 2009;31:353–4.
Chettri S, Adhisivam B, Bhat BV. Endotracheal suction for nonvigorous neonates born through meconium stained amniotic fluid: a randomized controlled trial. J Pediatr 2015;166:1208–13.e1.
Shah L, Shah G, Singh R, Pokharel H, Mishra O. Status of gastric lavage in neonates born with meconium stained amniotic fluid: a randomized controlled trial. Ital J Pediatr 2015;41:85.
Sharma P, Nangia S, Tiwari S, Goel A, Singla B, Saili A. Gastric lavage for prevention of feeding problems in neonates with meconium‐stained amniotic fluid: a randomised controlled trial. Paediatr Int Child Health 2014;34:115–9.
Ameta G, Upadhyay A, Gothwal S, Singh K, Dubey K, Gupta A. Role of gastric lavage in vigorous neonates born with meconium stained amniotic fluid. Indian J Pediatr 2013;80:195–8.
Deshmukh M, Balasubramanian H, Rao S, Patole S. Effect of gastric lavage on feeding in neonates born through meconium‐stained liquor: a systematic review. Arch Dis Child ‐ Fetal Neonatal Ed 2015;100:F394–9.
Kelly L, Shivananda S, Murthy P, Srinivasjois R, Shah P. Antibiotics for neonates born through meconium‐stained amniotic fluid. Cochrane Database Syst Rev 2017;6:CD006183.
Alexander JM, Wortman AC. Intrapartum Hemorrhage. Obstet Gynecol Clin North Am 2013;40:15–26.
Tikkanen M, Nuutila M, Hiilesmaa V, Paavonen J, Ylikorkala O. Clinical presentation and risk factors of placental abruption. Acta Obstet Gynecol Scand 2006;85:700–5.
Walfish M, Neuman A, Wlody D. Maternal haemorrhage. Br J Anaesth 2009;103:i47–56.
Lang CT, Landon MB. Uterine rupture as a source of obstetrical hemorrhage. Clin Obstet Gynecol 2010;53:237–51.
Gagnon R, Morin L, Bly S, Butt K, Cargill YM, Denis N, et al. Guidelines for the management of vasa previa. J Obstet Gynaecol Can 2009;31:748–53.
Ebrahim MA, Zaiton F, Elkamash TH. Clinical and ultrasound assessment in patients with placenta previa to predict the severity of intrapartum hemorrhage. Egypt J Radiol Nucl Med 2013;44:657–63.
Oppenheimer L, Armson A, Farine D, Keenan‐Lindsay L, Morin V, Pressey T, et al. Diagnosis and management of placenta previa. J Obstet Gynaecol Can 2007;29:261–6.
Shinde GR, Vaswani BP, Patange RP, Laddad MM, Bhosale RB. Diagnostic performance of ultrasonography for detection of abruption and its clinical correlation and maternal and foetal outcome. J Clin Diagn Res JCDR 2016;10:QC04–7.
Oyelese Y, Vintzileos AM. Placental Abruption. London, UK: BMJ Best Practice; 2018.
ACOG. Preparing clinical emergencies in obstetrics and gynecology. Committee Opinion No. 590. Obstet Gynecol 2014;123:722–5.
RCOG. Antepartum Haemorrhage. Guideline No. 63. London, UK: NICE; 2011 [https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_63.pdf]. Accessed 13 February 2020.
NICE. Intrapartum Care for Women with Existing Medical Conditions or Obstetric Complications and their Babies. London, UK: NICE; 2019 [https://www.nice.org.uk/guidance/ng121/resources/intrapartum‐care‐for‐women‐with‐existing‐medical‐conditions‐or‐obstetric‐complications‐and‐their‐babies‐pdf‐66141653845957]. Accessed 19 January 2020.
Tita ATN, Andrews WW. Diagnosis and management of clinical chorioamnionitis. Clin Perinatol 2010;37:339–54.
WHO. WHO Recommendations for Prevention and Treatment of Maternal Peripartum Infections. Geneva, Switzerland: WHO; 2015. [Internet] [http://www.ncbi.nlm.nih.gov/books/NBK327079/]. Accessed 13 November 2018.
Hofmeyr G, Kiiza J. Amnioinfusion for chorioamnionitis. Cochrane Database Syst Rev 2016;2016:CD011622.
Chapman E, Reveiz L, Illanes E, Bonfill CX. Antibiotic regimens for management of intra‐amniotic infection. Cochrane Database Syst Rev 2014;12:CD010976.
WHO. WHO Recommendations for Augmentation of Labour. Geneva, Switzerland: WHO; 2014.
Haddad SM, Souza RT, Cecatti JG, the WHO Intrapartum Care Algorithms Working Group. Management of maternal pulse and blood pressure abnormalities during labour and childbirth: an evidence‐based algorithm for intrapartum care decision support. BJOG. 2021. https://doi.org/10.1111/1471‐0528.16776.
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
الوصف
تدمد:1471-0528
DOI:10.1111/1471-0528.16728