World Journal of Laparoscopic Surgery

Register      Login

VOLUME 2 , ISSUE 1 ( January-April, 2009 ) > List of Articles

RESEARCH ARTICLE

Amnioscopy Revival as a Fetal Surveillance Tool

M Fallahian, P Taherzadeh, E Neisani Samani, MP Moghadam, Z Taheri

Citation Information : Fallahian M, Taherzadeh P, Samani EN, Moghadam M, Taheri Z. Amnioscopy Revival as a Fetal Surveillance Tool. World J Lap Surg 2009; 2 (1):4-6.

DOI: 10.5005/jp-journals-10007-1002

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2009; The Author(s).


Abstract

Background

This study was carried out to explore whether amnioscopy could help us to management of the uncertain date fetus to differ the prematurity from growth-restriction and assessment of post-term pregnancies as well. Notify the meconium staining of amniotic fluid is another aspect of amnioscopy, too.

Study design

This was a descriptive study of 80 pregnant women from 2007 to 2008 at a university hospital, Tehran, Iran. The characteristics of amniotic fluid were documented on admission by inspection with transcervical amnioscopy, in all singleton pregnancies. Data were analyzed statistically.

Results

Eighty women were admitted in labor during the study period and fulfilled the study inclusion criteria and had amniotic fluid evaluation available. Three pregnancies were uncertain date that managed according to amnioscope findings. Amniotic fluid were meconium stain in 22.5% (n = 18) and were clear 58.7% (n = 47) at amnioscopy and it was confirmed after delivery.

Conclusion

This study suggests that amnioscopy is an easy and safe procedure for assessment of amniotic fluid characteristics. It could help us to differ prematurity (with vernix) from growth restriction(with yellowish or meconium staining). Further analysis will determine its role in the perinatal outcome.


PDF Share
  1. Amnioscopy. In: Berci G, ed. Endoscopy. New York, Appletone-Century-Crofts 1976;465-72.
  2. NG Procedure and instrument for amnioscopy. L vov Medical Institue 1969;2:36-38.
  3. Decreased fetal movements in the third trimester: what to do? Gynecol Obstet Fertil 2005;33(11):861-69.
  4. Prognostic value of change in amniotic fluid color during labor. Fetal Diagn Ther 2005;20(1):5-9.
  5. The effect of meconium on perinatal outcome: A prospective analysis. J Matern Fetal Neonatal Med 2002;11(1):54-59.
  6. The in utero passage of meconium by very low birth-weight infants: A marker for adverse outcomes. J Perinatol 2006;26(2):125-29.
  7. Routine Amnioscopy at Term. Obstetrics and Gynecology 1976;47:521-24.
  8. The value of amnioscopy in surveillance of postdate pregnancy, Tel-Aviv University, Sackler School of Medicine, Israel. Aust N Z J Obstet Gynaecol 1988;28(4):271-74.
  9. Amnioscopy: Is it actual? Acta Biomed 2004;75Suppl 1:59-61.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.