Amnioinfusion-induced malpresentation
Washburne, J.F.; Chauhan, S.P.; Magann, E.F.; Moore, J.L.; Morrison, J.C.
Journal of the Mississippi State Medical Association 39(7): 240-241
1998
ISSN/ISBN: 0026-6396 PMID: 9670704 Document Number: 493802
Amnioinfusion is a valuable and common intrapartum procedure for the relief of cord compression and to dilute thick meconium. Like most procedures, it is not without risk and we report a case of malpresentation following amnioinfusion. Intrapartum fetal demise occurred after malpresentation during amnioinfusion resulting in a change of fetal presentation from vertex to unrecognized shoulder presentation. Further study is needed regarding changes in volume of amniotic fluid and saline as well as intrauterine manipulation and the effect on fetal presentation. Careful attention must be paid to infused volumes during amnioinfusion.