Procedure-related complications of rapid amniodrainage in the treatment of XXXX .

@entity1 @entity3152 @entity2978 @entity5870 @entity5869 @entity14244 @entity4942 @entity1168
OBJECTIVE: To investigate the procedure-related complications of rapid amniodrainage in the treatment of @entity2978 . METHODS: We followed prospectively all @entity1 with @entity2978 treated with rapid amniodrainage under continuous ultrasound guidance using a vacuum wound-drainage system from 1995 to 2002 in the fetal medicine unit of a university teaching hospital. We recorded: maternal age, type of pregnancy (singleton/twin), cause of @entity2978 , gestational age at amniocentesis, volume of amniotic fluid drained, duration of the procedure, other intrauterine procedures in addition to the amniodrainage, and procedure-related complications including @entity5869 , @entity4942 ( @entity4942 ), @entity5870 , fetal @entity1168 and @entity3152 within 48 h of amniodrainage. RESULTS: Seventy-four consecutive @entity1 had 134 rapid amniodrainage procedures during the study period. Four procedures were excluded because the @entity1 were already in labor at the time of amniodrainage and they delivered within 48 h of the procedure. The final database therefore consisted of 70 @entity1 with 130 procedures. Sixty-two percent (80/130) of the procedures were performed for the treatment of @entity14244 ( @entity14244 ). There were altogether four procedure-related complications (3.1%; 95% CI, 1.0-8.0%). Three of them occurred in the @entity14244 group (3/80 procedures, 3.8%; 95% CI, 1.0-11.0%): one case each of @entity5869 , @entity4942 and fetal @entity1168 . One @entity4942 occurred in the non- @entity14244 group (1/50 procedures, 2.0%; 95% CI, 0-11.0%). In both cases of @entity4942 the @entity1 presented in labor. CONCLUSIONS: Rapid amniodrainage using a vacuum wound-drainage system is safe and efficient to treat severe @entity2978 , with a 3.1% complication rate.
