The Value of Amnioscopy in Surveillance of Postdate Pregnancy

D. Levran, Z. Shoham, M. Geranek, M. Greenwald, S. Mashiach

Research output: Contribution to journalArticlepeer-review

Abstract

Summary: The accuracy and reliability of amnioscopy in detecting the presence of meconium in amniotic fluid and in predicting fetal distress were evaluated in 289 postdate pregnancies. Meconium‐stained amniotic fluid tended to be associated with complications of pregnancy such as ABO incompatibility (p<0.05), the need for operative delivery (p<0.02), and fetal distress at birth (p<0.05). Amnioscopy failed to detect the presence of meconium antenatally in most cases (57%), and positive amnioscopy for meconium was unrelated to the incidence of fetal distress. When meconium was present, induction of labour was ineffective in reducing the incidence of fetal distress. Amnioscopy is not recommended for the monitoring of postdate pregnancies.

Original languageEnglish
Pages (from-to)271-274
Number of pages4
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Volume28
Issue number4
DOIs
StatePublished - Nov 1988

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