Page 8 - WJOLS - Surgery Journal
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Masoumeh Fallahian et al
            hemorrage differentiation; and suspicion of intrauterine  REFERENCES
                 1,2
            death.  Later,Raboni and Levran describe the amnioscopy with
            many limitations such as rupture of membranes and serious  1. Saling E, Dudenhausen JW. Amnioscopy. In: Berci G, ed.
            infections and failed to detect the presence of meconium  Endoscopy. New York, Appletone-Century-Crofts 1976;
                                8,9
            antenatally in most cases.  Postmaturity was the most frequent  465-72.
            causes of amnioscopy in all studies. In addition to detect the  2. AI Stupk, NG Kirilenko. Procedure and instrument for
            presence of meconium antenatally, we could make a decision  amnioscopy. L vov Medical Institue 1969;2:36-38.
            for cases with uncertain gestational age according to  3. Sergent F, Lefèvre A, et al. Decreased fetal movements in the
            amnioscope findings, whether spontaneous delivery can be  third trimester: what to do? Gynecol Obstet Fertil 2005;33(11):
            safely awaited, or whether any intervention is preferable. This  861-69.
            was conceived as a pilot study because there were no previous  4. Locatelli A, Regalia AL, et al. Prognostic value of change in
            literature with this idea. Without a doubt, part of our motivation  amniotic fluid color during labor. Fetal Diagn Ther 2005;20(1):
            for performing this study was to increase our obstetricians  5-9.
            exposure to amnioscopy. We believe that this technique should  5. Sheiner E, Hadar A, et al. The effect of meconium on perinatal
            be taught in residency training programs. Under the conditions  outcome: A prospective analysis. J Matern Fetal Neonatal Med
            of our study, we suggest that careful targeted amnioscopy  2002;11(1):54-59.
            should be performed for pregnancy with uncertain gestational  6. Henry JA, Baker RW, et al. The in utero passage of meconium
            age to identify the time of termination. Options of termination  by very low birth-weight infants: A marker for adverse outcomes.
            and continuation of the pregnancy should be discussed with  J Perinatol 2006;26(2):125-29.
            the patient. Antenatal fetal well-being assessments such as  7. Saldana LR, Schulman H. Routine Amnioscopy at Term.
            biophysical profile or nonstress test, etc should be performed  Obstetrics and Gynecology 1976;47:521-24.
            for suspected cases to support our decision.         8. Levran D, Shoham Z, Geranek M, Greenwald M, Mashiach S.
               Therefore, further comparative studies with a larger number  The value of amnioscopy in surveillance of postdate pregnancy,
            of patients would have permitted for a greater degree of certainty  Tel-Aviv University, Sackler School of Medicine, Israel. Aust
            regarding our findings. In order to achieving visual findings via  N Z J Obstet Gynaecol 1988;28(4):271-74.
            an unripe or even closed cervix, amnioscopy can be developed  9. Raboni S, Kaibura CT. Amnioscopy: Is it actual? Acta Biomed
            as a fine fiberoptic technique.                         2004;75 Suppl 1:59-61.







































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