Amnioinfusion

Question 1

What is an amnioinfusion

Answer 1

Infusing warm sterile fluid into the uterus through an IUPC during labor

Question 2

What is one main reason we do amnioinfusion

What will the FHR show if the cord compression is the issue

What is the first intervention we’ll try though if the decels are happening?

Answer 2

Cord compression related to oligohydramnios (not enough amniotic fluid)

variable decels NOT lates

Change mom’s position
Give O2 facemask

Question 3

How soon is FHR variables relieved when we do an amnioinfusion

Answer 3

20-30 minutes

Question 4

What is the second reason why we would do an amnioinfusion

Answer 4

When the premature rupture of membrane causes the lack of fluid
- so both are lack of fluid issues

Question 5

What temp does the fluid need to be for an amnioinfusion

Answer 5

warmed

Question 6

How is the fluid infused

Answer 6

W infusion pump or IUPC and gravity

Question 7

What sort of activity should mom be on after amnioinfusion

Answer 7

bed rest

Question 8

Is amnioinfusion painful

Answer 8

It shouldn’t be

Question 9

What should you monitor fluid wise for the amnioinfusion

Answer 9

Monitor fluid expulsion

• count pads and visual observations
• should be around the amount infused (1000 ml is max)

Question 10

what should uterine resting tone be

Answer 10

40 mm hg or below

- it should not go higher

Question 11

What to document

Answer 11

procedure, maternal and fetal responses, and fluid return

Question 12

What is the amnioinfusion process

Answer 12

Start with 250-500 ml bolus over 20-30 minutes. Repeat as needed
then followed by continuous administration of fluid if needed until birth