{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:25:46Z","timestamp":1747182346206,"version":"3.40.5"},"reference-count":59,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1084318"],"award-info":[{"award-number":["OPP1084318"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To construct evidence\u2010based algorithms for the assessment and management of common amniotic fluid abnormalities detected during labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Low\u2010risk singleton, term pregnant women in labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Birth facilities in low\u2010 and middle\u2010income countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search Strategy<\/jats:title><jats:p>We searched international guidelines published by the American College of Obstetricians and Gynecologists (ACOG), the National Institute for Health and Care Excellence (NICE), the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), the Royal College of Obstetricians and Gynaecologists (RCOG), the Society of Obstetrics and Gynaecology (SOGC) and the World Health Organization (WHO). We also searched The Cochrane Library and MEDLINE up to 20 January 2020 using keywords for relevant systematic reviews and randomised trials.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case scenarios<\/jats:title><jats:p>We developed evidence\u2010based intrapartum care algorithms for four case scenarios: oligohydramnios; meconium\u2010stained amniotic fluid; bloody amniotic fluid or vaginal bleeding; and purulent amniotic fluid or discharge. These conditions may be associated with fetal and \/or maternal morbidity. Differential diagnosis includes uteroplacental insufficiency, fetal growth restriction, fetal distress, abruption, placenta or vasa praevia, uterine rupture and intra\u2010amniotic infection, respectively. Algorithms include how to assess for, diagnose and manage these conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Four algorithms are presented, to provide a systematic approach and guidance on the clinical management for the following amniotic fluid abnormalities: oligohydramnios; meconium\u2010stained liquor; bloody amniotic fluid or vaginal bleeding; and purulent amniotic fluid or discharge. These algorithms may be beneficial in supporting clinical decision making, particularly in low\u2010resource settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Evidence based algorithms for management of common amniotic fluid abnormalities seen during labour.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16728","type":"journal-article","created":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T03:59:58Z","timestamp":1649822398000},"page":"90-101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Intrapartum care algorithms for liquor abnormalities: oligohydramnios, meconium, blood and purulent discharge"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7687-5629","authenticated-orcid":false,"given":"T","family":"Liabsuetrakul","sequence":"first","affiliation":[{"name":"Epidemiology Unit Faculty of Medicine Prince of Songkla University  Hat Yai Songkhla Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Meher","sequence":"additional","affiliation":[{"name":"The Fetal Medicine Centre Birmingham Women\u2019s and Children\u2019s Foundation Trust  Edgbaston Birmingham UK"},{"name":"Institute of Metabolism and Systems Research University of Birmingham  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the WHO Intrapartum Care Algorithms Working Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2205-0140.2013.tb00167.x"},{"key":"e_1_2_6_3_1","article-title":"Amniotic fluid: physiology and assessment","author":"Fischer RL","year":"2009","journal-title":"Glob Libr Womens 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