Induction of labor methods in isolated term oligohydramnios

Krispin, Eyal; Netser, Tal; Wertheimer, Avital; Salman, Lina; Chen, Rony; Wiznitzer, Arnon; Hadar, Eran

doi:10.1007/s00404-019-05080-5

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…[5] Oligohydramnios has been linked to a worse fetal outcome and has been identified as a probable sign of placental insufficiency. [13] In this study we find that there is a significant association between isolated oligohydramnios and induction of labor…”

Section: Discussionmentioning

confidence: 55%

The Relationship between Isolated Oligohydramnios at Term and Labor Mode. A Prospective-Observational Study

Ahmed

Hasan

2022

Annals of Neonatology Journal

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Objective: To assess the relationship of between isolated oligohydramnios at the last few weeks of pregnancy with mode of delivery and evaluate its role in failure of induction of labor and its role in increase rate of caesarian section. Study design: This is a prospective-observational study included 70 pregnant women, 35 of them with normal amount of liquor (control group), and the other 35 pregnant women with isolated oligohydramnios diagnosed according to ultrasound criteria (amniotic fluid index (AFI) of 5 cm, single deepest pocket of 2 cm) (study group) , all pregnant women at (37-40 weeks) of gestation, attended the ante-natal care unit (ANC) unit in Nu'man teaching hospital and the outpatient private clinics in Hay Aljameaa/ Al-Harthya in Baghdad from December 2020 till April 2021. Results: Study group includes 35 pregnant women with isolated oligohydramnios and the control group includes 35 pregnant women with normal AFI after matching of other inclusion criteria (maternal age, parity and gestational age) for both groups, there is a significant difference between the study and control group in mode of delivery as the highest percent of women with IO delivered by cesarean section (68.57%) while the highest percent of women with normal AFI delivered vaginally (74.29%). There is a statistical difference in the rate of cesarean section due to abnormal doppler study before induction of labor (p value= 0.0500), there is significant difference in mean birth weigh between both study groups (P-value= 0.0380), with the statistically significant differences in Apgar score at 1 minute and 5 minutes ≥7/10 (P-value = 0.0047, 0.0253) respectively. With high level of significance about neonatal intensive care unit admission (NICU) > 24 hrs (P-value= 0.0110). Conclusions: Pregnancies with isolated oligohydramnios are associated with increased rate of development of fetal distress, meconium-stained liquor, rate of caesarean delivery, NICU admission and low birth weight. Rate of cesarean for fetal distress is increased because of increased rate of induction of labor in women with oligohydramnios. The study does not suggest any root for delivery of pregnancies with IO, It is better to give the patient chance of spontaneous labor (if there is no fetal distress) with close monitoring for the fetal heart rate during labor. Cesarean section is indicated for IO with fetal distress at any stage of labor to decrease perinatal morbidity and mortality. Further studies may be required to evaluate the long-term consequences of isolated oligohydramnios.

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Section: Discussionmentioning

confidence: 55%

The Relationship between Isolated Oligohydramnios at Term and Labor Mode. A Prospective-Observational Study

Ahmed

Hasan

2022

Annals of Neonatology Journal

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“…In both groups, the most common indication was oligohydramnios with or without fetal growth restriction (FGR). Elective induction of labour for isolated oligohydramnios is not a contraindication and has favorable outcome without increasing CS rate 18 . The practice of amnio-infusion during labour which prevents cord compression and fetal distress is the constraint in our setting.…”

Section: Discussionmentioning

confidence: 99%

“…There is arguable dilemma and decision to choose between induction of labour or caesarean section in moderate pre-eclampsia, preterm PROM and oligohydramnios among obstetricians. It has been noted that induction of labour does not increase caesarean section rates 16,18 .…”

Section: Discussionmentioning

confidence: 99%

Usefulness of Robson classification system to analyze caesarean section deliveries: a hospital based study

Tamang

Dema

Pelden

et al. 2020

Bhutan Health Journal

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Introduction: World Health Organization recommends using the Ten-group Robson classification as a standard for assessing and reducing caesarean section (CS) rates. Our study aimed at analyzing CS deliveries using this system with the primary objective of examining the driving factors of increased risk for caesarean delivery. Methods: A retrospective observational study was conducted in Mongar Regional Referral Hospital from 1st January 2016 to 31st December, 2018 recruiting all institutional deliveries and classifying each of them into 10 groups of Robson classification system based on six obstetric variables. Results: There were 2337 deliveries, of which 804 were CS, contributing to a rate of 34.4%. More than three fourth (78.9%) of caesarean deliveries occurred in Groups 5, 4, 2 and 1. Previous CS was the highest contributor of CS rate and the most common indication. Conclusion: Higher CS rate has been observed in our referral hospital, contributed largely by women with previous CS, induced labour and pre-labour CS. There is a need for implementation of Robson classification system in all tertiary hospitals.

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“…Oxytocin for induction was administered by infusion at 0.002 IU/min. Additionally, women with Bishop scores <6 received 10 mg dinoprostone by the intravaginal route for cervical maturation [10]. Fetal biophysical scoring was performed and closely monitored twice weekly for fetal wellbeing in patients with IO in whom labor was not immediately induced.…”

Section: Methodsmentioning

confidence: 99%

Can systemic immune inflammation index measured in the first trimester predict later occurring isolated oligohydramnios?

Dinç¹,

Naykı²

2023

Med-Science

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The aim of our study is to determine whether the first trimester systemic immune inflammation index (SII) and other hematological markers can be useful as new markers of isolated oligohydramnios that may develop later. Two main groups were formed in this retrospective study. In the first group, 57 pregnant women with isolated oligohydramnios in their third trimester (between 28-40 weeks) were included. The control group consisted of 137 healthy pregnant women with a normal amniotic index (AFI) in the third trimester. First trimester and delivery hemogram values and newborn results of all pregnant women in both groups included in the study were noted for statistical comparison. Platelet (261.895+8.04), which is the hematological marker that best predicts IO in the first trimester, was found to be higher than the healthy group (244.390±4.79) (p=0.03). PLR was the best predictor of oligohydramnios in the third trimester. The PLR level was determined as 113,288, and the cut-off value was 64.91%, the upper limit was 95% CI, the specificity was 51.09%, the positive predictive value was 35.58%, and the negative predictive value was 77.78%. The platelet count in the first trimester and the progressive increase in the number of PLR in the third trimester are significantly related in the prediction of oligohydromnus. SII, NLR and PLR measured in the first trimester are useless in predicting isolated oligohydramnios that may develop in the future.

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Induction of labor methods in isolated term oligohydramnios

Cited by 6 publications

References 24 publications

The Relationship between Isolated Oligohydramnios at Term and Labor Mode. A Prospective-Observational Study

The Relationship between Isolated Oligohydramnios at Term and Labor Mode. A Prospective-Observational Study

Usefulness of Robson classification system to analyze caesarean section deliveries: a hospital based study

Can systemic immune inflammation index measured in the first trimester predict later occurring isolated oligohydramnios?

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