Amnioinfusion

Vanderbilt University Medical Center
Policy Manual
Chapter: Area Specific Practice Guidelines

Policy Number Effective Date Supersedes

AS 201111-20.18 10/2010 2003

Amnioinfusion
Key Words: Amnioinfusion, labor, labor and delivery, variables

Applicable to
VUH Children’s VMG VMG Off-site locations VPH VUSN VUSM

Approved by
Nicole Powell, MSN, RN-C Manager, Labor and Delivery Date Robin Mutz, RNC, IBCLC, MPPM Date Administrative Director, Women’s Patient Care Center

Bennett Spetalnick, MD Medical Director, Labor and Delivery

Date

Table of Contents
I. II. III. IV. V. VI. VII. VIII. Purpose: ........................................................................................1 Policy:...........................................................................................1 Definitions: ...................................................................................2 Additional Competencies Required: ............................................2 Specific Information:....................................................................2 References: ...................................................................................4 Contributors:.................................................................................4 Endorsements: ..............................................................................4

I.

Purpose: To provide guidelines for the nursing care of patients undergoing amnioinfusion and to outline the procedure for the administration of amnioinfusion in Labor and Delivery.

II.

Policy: Amnioinfusion may be used to attempt to resolve severe, variable fetal heart rate decelerations thought to be caused by umbilical cord compression due to a decrease in amniotic fluid.

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III.

Definitions: A. Amnioinfusion- the transcervical infusion of sterile solution into the amniotic cavity

References: American Academy of Pediatrics & American College of Obstetricians and Gynecologists. (2007). Guidelines for perinatal care (6th ed.). Washington, D.C.: Authors. Simpson, K.R. & Creehan, P.A. (Eds) (2008) Perinatal Nursing (3rd ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. VII. Contributors: Lead Author: Robin Seaton, MSN, RN, FNP-BC Nurse Educator, Labor and Delivery VIII. Endorsements: OB Patient Care Committee month/year Page 4 of 4