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April 13, 1970

New Approach to Amnioscopy

Author Affiliations

St. Luke's Hospital Cleveland

JAMA. 1970;212(2):321. doi:10.1001/jama.1970.03170150075023

To the Editor.—  Amnioscopy for evaluation of intrauterine fetal status has slowly gained acceptance in this country since the original description of the method by Saling in 1962.1 In general, amnioscopy is considered a simple, safe, and useful method of intrauterine fetal monitoring. The technique involves the visualization of the amniotic fluid through a partially dilated cervix and intact membranes. The main aim of amnioscopy is the detection of meconium within the amniotic fluid which presumably signifies fetal distress. Validity of meconium stained amniotic fluid as a sign of fetal distress in the absence of other associated stigmata such as alteration in fetal heart rate has remained a matter of much debate.2,3 In addition amnioscopy may provide information, such as the presence of blood or bilirubin in the amniotic fluid in the case of abruptio placenta and erythroblastosis fetalis, respectively. According to our experience, amnioscopy is also of