IUGR-New_edited-13-09-10.ppt

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Yoga practices have helped to prevent IUGR

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AMNIOINFUSION-- definition-An amnioinfusion is a technique of instilling an isotonic fluid {such as a normal saline or lactated ringer’s solution} into the amniotic cavity during labor to relieve umbilical cord compression and alleviate fetal distress from severe prolonged variable decelerations in the presence of oligohydramnios. INDICATIONS Fetal heart rate abnormalities APGAR scores for those with low scores Asphyxia during time of birth Decreasing the rates of cesarean birth related with FHR problem PROCEDURE The amnio infusion procedure involves the use of an intrauterine pressure catheter (IUPC), or a single or double lumen type of IUPC. The IUPC has been designed to attain an accurate monitoring of uterine contractions among women in the intrapartum period. It has a special port from which the saline fluid or lactated ringer’s solution is being injected, passing through the tubing and going its way into the uterus. An IUPC is inserted through standard technique once the membranes ruptures, and then it is attached to intravenous extension tubing. If IUPC is not available, a pediatric nasogastric tube can be used instead. Lactated ringer’s solution without dextrose is infused into the amniotic cavity; normal saline can be an acceptable fluid alternative Assisting Physician with Amnioinfusion Explain the procedure to the patient. Assist in dorsal recumbent position. Assist with draping and exposing vaginal area. Connect IUPC tubing to IV fluid, flush Connect the catheter to the monitor cable Assist physician with insertion of double lumen IUPC and connect IV tubing to the amnioport to begin amnioinfusion.

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