Main Article Content
Objective: To assess the effects of amnioinfusion for meconium stained liquor on reducing perinatal
Material and Methods: This case control study was conducted in Kalsoom Maternity hospital, Peshawar
on singleton pregnancies with cephalic presentation, >37 weeks gestation and meconium stained liquor at
admission or during labor, randomized in two groups. Group 1 (study group) received amnioinfusion
(normal saline 500mls at room temperature) over a period of 30 minutes at a rate of 10-20 mls/min. Group
2 (control group) did not receive such treatment. Fetal heart monitoring at every 10-15 minutes along with
progress of labour plotted on a partogram was recorded.
Results: Out of 82 cases, 1 breech and 2 premature were excluded so 79 were left for the study. All were
with cephalic presentation and gestation >37 weeks in 73.41% cases and postdates in 26.5% cases.
In Group 1 (n=52), 36 (69.2%) had normal vaginal delivery (NVD), 4(7.7%) had outlet forceps delivery,
12(23.1%) had vacuum vaginal delivery and cesarean section rate was 0%. Two (3.8%) newborns were
referred to nursery with 1 (1.9%) early neonatal death.
In Group 2 (n=27), 6 (22.2%) had NVD, 11(40.7%) delivered with outlet forceps, 10(37.1%) had vacuum
vaginal delivery and no cesarean section. Twelve (44.4%) babies were referred to nursery with 2 (7.4%)
early neonatal deaths.
Conclusion: Amnioinfusion is associated with improvements in perinatal outcome, particularly in settings
where facilities for fetal surveillance are limited. The technique appears to be safe, simple and economical.
Work published in JPMI is licensed under a
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.