Maternal Hydration Therapy Improves the Quantity of Amniotic Fluid and the Pregnancy Outcome in Third‐Trimester Isolated Oligohydramnios

Patrelli, Tito Silvio; Gizzo, Salvatore; Cosmi, Erich; Carpano, Maria Giovanna; Gangi, Stefania Di; Pedrazzi, Giuseppe; Piantelli, Giovanni; Modena, Alberto Bacchi

doi:10.7863/jum.2012.31.2.239

Cited by 42 publications

(37 citation statements)

References 18 publications

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“…The most likely cause of oligohydramnios in IUGR babies is decreased urine output. 7 There are numerous maternal and fetal risk factors associated with a reduction of AFI.…”

Section: Introductionmentioning

confidence: 99%

Neonatal and maternal outcome in oligohydramnios: a prospective study

Ahmar

Parween

Kumari

et al. 2018

Int J Contemp Pediatr

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Background: Oligohydramnios presents a threat to the fetus and has been correlated with increased risk of intrauterine growth retardation, meconium aspiration syndrome, severe birth asphyxia, low APGAR scores and congenital abnormities. It is associated with perinatal morbidity and mortality and maternal morbidity in a significant number of cases. Therefore, early detection of oligohydramnios and its management is important. Aim of this study was to know the fetal and maternal outcome in oligohydramnios.Methods: 90 patients in third trimester of pregnancy with Oligohydramnios were selected after satisfying inclusion and exclusion criteria. A detailed history and examination were done. All required investigation done. Oligohydramnios confirmed by measuring Amniotic fluid index (AFI).Results: Mean maternal age-26.1 years. Incidence of oligohydramnios was more in primipara (64.4%) in our study. And operative morbidity was also more in primipara (51.7%). Most common cause of Oligohydramnios was idiopathic (44.44%). Operative morbidity was significantly higher in Non-reassuring FHR (80%) than reassuring FHR (32%). 7 patients (7.78%) were found with fetoplacental insufficiency on Doppler study.Conclusions: Oligohydramnios is frequent occurrence and demands intensive fetal surveillance and proper antepartum and intrapartum care so that perinatal morbidity and mortality and maternal morbidity can be reduced.

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“…The most likely cause of oligohydramnios in IUGR babies is decreased urine output. 7 There are numerous maternal and fetal risk factors associated with a reduction of AFI.…”

Section: Introductionmentioning

confidence: 99%

Neonatal and maternal outcome in oligohydramnios: a prospective study

Ahmar

Parween

Kumari

et al. 2018

Int J Contemp Pediatr

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“…Magnan et al, Patrelli et al and Shikha et al have quoted a similar age between 24-26 years. [3][4][5] In the present study, maximum number of women were literate (80%) (table 1). The result was in accordance to Shikha et al showing 77% of study population to be literate.…”

Section: Discussionmentioning

confidence: 47%

“…Mean gestational age was comparable to studies by Magnan et al, and Patrelli et al in which it was ranging between 31 to 36 weeks. 4,5 Present study included women who had isolated oligohydramnios in third trimester with an amniotic fluid index of less than 5cm and with normal doppler flows. The mean amniotic fluid index at the time of admission was 4.25±1.01 cm which ranged from 0 to 5 cm (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…Thus in the present study, with continuous and sustained oral intake of fluids, the average daily fluid intake of women was 4.07±0.76 litres (table 4) with more than two third took between 4-6 litres. A method similar to ours was followed by Patrelli et al and Shikha et al 3,5 In the present study it was observed that there was a significant increase in the mean AFI on day1, day2, day3, first week then at subsequent weeks after fluid therapy (4.25cm to 6.19cm, 4.25cm to 7.33cm, 4.25cm to 8.0cm and 4.25 cm to 9.3cm respectively) ( Table 6). The AFI in 90% of the women increased to between 5-8cm on day1 of an adequate intake of oral fluids.…”

Section: -7mentioning

confidence: 92%

“…Our results are consistent with that of the study by Patrelli et al who reported that by giving oral hydration therapy of 2.5 litres per day plus routine intake of water, significantly improves the quantity of amniotic fluid, resulting in a normal AFI at birth. 5 In fact, they noted that an increased AFI at birth was significant in the group who took 2500 mL of water daily (AFI increased from 7.7 to 11.2 cm at birth, ΔAFI = 3.5cm) compared to the group who took 1500 mL daily (AFI increased from 7.5 at to 8.6 cm, ΔAFI =1). Similarly, Shikha et al demonstrated that sustained fluid intake i.e.…”

Section: -7mentioning

confidence: 97%

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Correction with oral hydration improves maternal and perinatal outcome in women with third trimester isolated oligohydramnios

Aggarwal

Patra

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Oligohydramnios is related to serious maternal and fetal complications. In case of isolated oligohydramnios in third trimester maternal oral hydration has shown promising results in improving maternal and perinatal outcome. Methods: This study was conducted on 50 pregnant women complicated by idiopathic oligohydramnios (AFI<5) in third trimester. Their pre hydration daily fluid intake was noted and they were advised to take oral fluids more than their usual intake (according to their convenience). The daily fluid intake and AFI was measured on day1, day2, day3 then weekly till delivery. At delivery maternal and fetal outcome were measured. Results: The mean AFI of the study population at the time of enrolment was 4.25±1.01 and daily mean fluid intake was 1.46±0.41. The post hydration fluid intake per day was significantly high as compared to pre hydration fluid intake (4.40±0.51 litres vs 1.46±0.41 litres, p<0.001). A significant difference in the amniotic fluid index was seen post hydration. The mean AFI on day 1, day 2, day 3 was 6.19±0.93, 7.33±1.13, 8.0±1.07 as compared to pre hydration AFI 4.25±1.01 (p<0.001). The amniotic fluid index post hydration normalized (AFI>8) in 6%, 30%, 61% and 100% of women on day1, day2, day3 and after a week. The perinatal outcome was favourable in all the women with 100% live births and a mean birth weight of 2.77±0.29 kg. Conclusions: A simple correction of maternal dehydration by an adequate and sustained daily oral fluid intake in pregnancies complicated by isolated third oligohydramnios in third trimester significantly improves amniotic fluid index, maternal outcome and perinatal outcome.

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Amniotic fluid as a vital sign for fetal wellbeing

Dubil

Magann

2013

Australas J Ultrason Med

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Introduction: Amniotic fluid, once thought to merely provide protection and room for necessary movement and growth for the fetus, is now understood to be a highly complex and dynamic system that is studied as a data point to interpret fetal wellbeing. Methods: Assessment of amniotic fluid volume is now routine when performing a sonographic evaluation of fetal status and is an important consideration in the assessment and management of perinatal morbidity and mortality. 1 , 2 In this review, we will cover the dynamics that affect amniotic fluid volume, review methods for measurement and quantification of volume, review definitions for normative data as related to neonatal outcomes, and provide evidence based guidance on the workup and management options for oligoydramnios and polyhydramnios in singleton and twin pregnancies. Conclusions: When abnormalities of fluid exist, appropriate workup to uncover the underlying etiology should be initiated as adverse fetal outcomes are sometimes associated with these variations from normalcy.

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Maternal Hydration Therapy Improves the Quantity of Amniotic Fluid and the Pregnancy Outcome in Third‐Trimester Isolated Oligohydramnios

Abstract: Our data show that in pregnancies complicated by isolated oligohydramnios, hydration therapy significantly improves the quantity of amniotic fluid.

Cited by 42 publications

References 18 publications

Neonatal and maternal outcome in oligohydramnios: a prospective study

Neonatal and maternal outcome in oligohydramnios: a prospective study

Correction with oral hydration improves maternal and perinatal outcome in women with third trimester isolated oligohydramnios

Amniotic fluid as a vital sign for fetal wellbeing

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