Gynaecology and Obstetrics Section

 INTRA UTERINE LIQUID REPLACERS

• This is a most important procedure in preventing or minimizing trauma to the birth canal from friction arising during assisted delivery. 
• Assisted delivery must never be attempted when intra uterine liquids have been lost and the walls of the birth canal and the skin of the fetus dry. 
• Manipulations inside the birth canal can be more easily and safely performed when the fetus is floating in lubricant liquid.

Preparations

• The simplest Intrauterine liquid replacer is soap water 
• The lubricant solution obtained by boiling 250g linseed in 10 lts of warm water and then filtered while hot (linseed tea). 
• 1000gms of methylcellulose in 45 litres of warm water 
• J-tube-poly ethylene polymer – 25%

Procedures

• Intrauterine liquid is introduced into the genital tract as anterior as possible over the dorsal aspect of the foetus. 
• Liquid should be replenished at frequent intervals, 0.5 to 1 litre at a time to permit manipulation and traction.
• The liquid should be removed after delivery of fetus.