Amnioinfusion...pump or no pump???

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Our guidelines were recently updated stating amnioinfusions must be on a pump. Just curious as to what everyone else is doing????

Heating the solution is no longer recommended, except in cases of very premature cases, however. This is a relatively new recommendation.

Very interesting Smiling. Thanks for the new info.

At the hospital I work at, pumps are always used for amnioinfusion.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

look at my wording...

"cases in very premature cases"

talk about redundance........duh

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At our Level III regional medical center, gravity only with room temp fluid unless a rate has been prescribed, and that rate has to be under 50cc/hr. Our residents have done a longterm study on amnioinfusion and this has come about after a dozen years of study.

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Our guidelines were recently updated stating amnioinfusions must be on a pump. Just curious as to what everyone else is doing????

Yes, always a pump.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I hear the others about "forcing fluids" in the uterus......

That is why the bolus goes by gravity in so many institutions, and then maintenance by pump. This makes really good sense to me. Usually boluses can be flowed in by gravity-------we usually give about 200-250ml boluses. After that, the pump NEEDS to be used to keep a close hourly I/O on uterine flow. The literature I have read states this is critical.

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Specializes in Behavioral Health.

Very interesting discussion everyone...seems like the same exact conflicts we are having at work regarding this policy change. :uhoh3:

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We use a pump.

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Siri or Smiling--

Just curious if anything new has been released in terms of research on this issue? I just changed hospitals and at my old hospital we did 250-300 births a month and therefore Amnio's quiet frequently. Our policy was a 300 cc bolus and then running the fluid at 100cc/hr all to gravity...NO PUMPS. With the mindset that this would decrease the risk of "blowing out" the uterus. At my new hospital, the policy is dated 1998 and my manager admits she's never actually seen an amnioinfusion...hmn. Anyway. The policy is to run a 600-800 cc bolus and then on a pump keep it going at a somewhere between 125-300 cc/hr. A) this seems like too much fluid and B) I'm curious about the pump...obviously I come from the other teaching but they are asking me now if I know of research either way. Can anyone point me in a direction?? Thanks!!

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Specializes in L&D.

Both rationales make sense (closely control rate and don't force fluids). Anyone else a no pump place?

We don't use a pump at our hospital - same rationales. I'd like to read more info about this.

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Specializes in L&D.
Exactly correct. Thus, should be at room temp. Has shown to produce tachy arrythmias in the term infant.

Really? I'm being taught to use LR from the warmer. Another study I would like to read.

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Specializes in Adult and Pediatric Vascular Access, Paramedic.

Hi,

I am just a nursing student. Do they do an "amnioinfusion" for olgihydramnios (sp)?? and how often is that done? and how is it done, I would imagine through the abdomen?? THanks for any info.

swtooth

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Anyone know where I could get my hands on current literature stating the importance of running the amnioinfusion on a pump at least after the bolus is in? I work at a large teaching facility that does about 500 del's monthly and we are supposed to be "up-to-date", but we do not ever use a pump for amnioinfusion. I have read more than one post that says how critical this is, so sounds like we need to update our P&P! Thanks, SG

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