Amnioscopy

Amnioscopy is a study of amniotic fluid inside the amniotic sac using a special instrument - an amnioscope (amnioscopc), which is inserted inside through the abdominal wall. This allows you to directly observe the development of the fetus inside this cavity. Cervical amnioscopy, performed in later stages of pregnancy, makes it possible to examine the contents of the amniotic sac through the cervix using various instruments (for example, a fibrofetoscope). During such an examination, the fluid contained inside the cavity can be taken for analysis without amnion puncture; A meconium test may also be performed.

AMNIOTOMY (artificial rupture of membranes, ARM) is a surgical procedure that involves puncture of the amnion surrounding the fetus in the uterus.

Amnioscopy is a study of amniotic fluid, which is carried out inside the amniotic sac using a special instrument - an amnioscope. The amnioscope is inserted through the mother's abdominal cavity and allows direct observation of the development of the fetus inside this cavity.

Cervical amniscopy is another research method that is performed in later stages of pregnancy. It allows you to examine the contents of the amnion through the cervix using various instruments such as a fibrofetoscope. In this case, you can take an analysis of the contents of the amniotic sac without the need for a puncture, as well as analyze meconium (fetal secretions).

Amniotomy is a surgical procedure that involves opening artificial membranes (artificial rupture of membranes, ARM). This may be necessary to diagnose or treat pregnancy complications.

In general, amniscopy and amniotomy are important methods of investigation and treatment during pregnancy. They provide important information about the condition of the fetus and mother, and can also help prevent complications during pregnancy.

Amnioscopy is a highly informative method for studying the state of amniotic fluid, fetal membranes and the functioning parameters of the fetus itself, based on a visual examination of the internal surface. The study allows you to assess the condition and level of development of the placenta in each trimester of pregnancy and is prescribed in accordance with the doctor’s recommendations. During amniotomy, the tight fit of the fetal bladder to the posterior wall of the uterus is usually eliminated in case of polyhydramnios, spontaneous leakage of amniotic fluid with the formation of incomplete opening of the external pharynx, etc., prolongation of pregnancy with the risk of venous stagnation in the fetus with the development of fetoplacental insufficiency, etc. More often it is performed under intravenous administration of drugs to prevent bleeding. However, during diagnostic artificial opening of the amniotic sac at the site of possible minor intrauterine bleeding, mainly on the days of birth, reaching 1.5-2 liters of blood, it is necessary to take into account the hemostatic effect of spasm of the uterine muscles. In order to prevent bleeding after amniotomy, bed rest for 3-6 hours is required. For the prevention and treatment of anemia due to postpartum blood loss due to blood clotting, vitamins and iron-containing preparations are also indicated. After opening the amniotic sac, in cases where it was not carried out in advance in a hospital according to the doctor’s indications, as well as in the case of a large volume of amniotic fluid, it is advisable