Close
New

Medscape is available in 5 Language Editions – Choose your Edition here.

 

Amnioreduction Medication

  • Author: Jenny E Halfhill, DO; Chief Editor: Carl V Smith, MD  more...
 
Updated: Feb 04, 2015
 

Medication Summary

The goals of pharmacotherapy are to reduce the pain associated with needle insertion and prevent complications.

Next

Local Anesthetics, Amides

Class Summary

Local anesthetics are used for local pain relief.

Lidocaine (Xylocaine)

 

Lidocaine inhibits depolarization of type C sensory neurons by blocking sodium channels. It is injected into the skin and subcutaneous tissue to reduce the pain associated with needle insertion.

Previous
 
Contributor Information and Disclosures
Author

Jenny E Halfhill, DO Resident Physician, Department of Obstetrics and Gynecology, Western Pennsylvania Hospital

Jenny E Halfhill, DO is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Osteopathic Association

Disclosure: Nothing to disclose.

Coauthor(s)

Ronald Lee Thomas, MD Associate Professor, Department of Obstetrics and Gynecology, Drexel University College of Medicine; Director, Division of Maternal-Fetal Medicine and Obstetrical Services, Director, Department of Obstetric/Gynecological Ultrasound, Allegheny General Hospital, West Penn Allegheny Health System

Ronald Lee Thomas, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Institute of Ultrasound in Medicine, Pennsylvania Medical Society, Society for Maternal-Fetal Medicine, Allegheny County Medical Society, Johns Hopkins Medical and Surgical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Carl V Smith, MD The Distinguished Chris J and Marie A Olson Chair of Obstetrics and Gynecology, Professor, Department of Obstetrics and Gynecology, Senior Associate Dean for Clinical Affairs, University of Nebraska Medical Center

Carl V Smith, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Institute of Ultrasound in Medicine, Association of Professors of Gynecology and Obstetrics, Central Association of Obstetricians and Gynecologists, Society for Maternal-Fetal Medicine, Council of University Chairs of Obstetrics and Gynecology, Nebraska Medical Association

Disclosure: Nothing to disclose.

References
  1. Coviello D, Bonati F, Montefusco SM, Mastromatteo C, Fabietti I, Rustico M. Amnioreduction. Acta Bio Medica Ateneo Parmense. 2004. 75:31-33.

  2. Piantelli G, Bedocchi L, Cavicchioni O, et al. Amnioreduction for treatment of severe polyhydramnios. Acta Bio Medica Ateneo Parmense. 2004. 75:56-58.

  3. Fisk NM, Tannirandorn Y, Nicolini U, Talbert DG, Rodeck GH. Amniotic pressure in disorders of amniotic fluid volume. Obstet Gynecol. 1990. 76:210-214.

  4. Queenan JT, Gadow EC. Polyhydramnios. Am J Obstet Gynecol. 1970. 108:349-355.

  5. Makino Y, Makino I, Tsujioka H, Kawarabayashi T. Amnioreduction in patients with bulging prolapsed membranes out of the cervix and vaginal orifice in cervical cerclage. J Perinat Med. 2004. 32.

  6. Jan E Dickinson. Amnioreduction therapy for twin-twin transfusion syndrome. Quintero RA. Twin-Twin Transfusion Syndrome. Informa Healthcare; 2007. 891-97.

  7. Leung W, Jouannic J, Hyett J, Rodeck C, Jauniaux E. Procedure-related complications of rapid amniodrainage in the treatment of polyhydramnios. Ultrasound Obstet Gynecol. 2003. 23:154-158.

  8. ACOG Committee Opinion No. 402: Antenatal corticosteroid therapy for fetal maturation. Obstet Gynecol. 2008 Mar. 111(3):805-7. [Medline].

  9. Beloosesky R, Ross MG. Polyhydramnios [database online]. UpToDate. Accessed December 17, 2011:

  10. Dickinson JE, Tjioe YY, Jude E, Kirk D, Franke M, Nathan E. Amnioreduction in the management of polyhydramnios complicating singleton pregnancies. Am J Obstet Gynecol. 2014 Oct. 211(4):434.e1-7. [Medline].

  11. Chai H, Fang Q, Huang X, Zhou Y, Luo Y. Prenatal management and outcomes in mirror syndrome associated with twin-twin transfusion syndrome. Prenat Diagn. 2014 Jul 9. [Medline].

  12. Roberts D, Neilson JP, Kilby MD, Gates S. Interventions for the treatment of twin-twin transfusion syndrome. Cochrane Database Syst Rev. 2014 Jan 30. 1:CD002073. [Medline].

Previous
Next
 
Image of ultrasound-guided amnioreduction. The sonogram shows needle placement for amnioreduction in a case of polyhydramnios.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC. This website also contains material copyrighted by 3rd parties.