Acute Oral Hydration in Management of Oligohydramnios and Doppler Changes

Farghal, Mohamed Alaa; Zakaria, Abd El-Moneam Mohamed; Sedek, Abd El-Mosef Abd El-Hamed

doi:10.21608/amj.2021.139724

Cited by 3 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It also reduces the cesarean section rate and improves fetal outcomes despite being non-invasive, more cost-effective, and easier. 6,13,14 El Mosseff et al in their study found that acute maternal oral hydration increased 13 Our study compared the effect of oral and intravenous hydration. Both oral and intravenous hydration led to a significant increase in amniotic fluid volume when compared to amniotic fluid volume at baseline.…”

Section: Discussionmentioning

confidence: 86%

Maternal Hydration with Intravenous Versus Oral Therapy in the Correction of Isolated Oligohydramnios in the third Trimester of Pregnancy

Nosheela Javed,

Mahjabeen,

Qurra tul Ain

et al. 2023

Ann Pak Inst Med Sci

View full text Add to dashboard Cite

Objective: To compare the effectiveness of oral hydration versus intravenous hydration therapy in correcting amniotic fluid volume in women presenting with isolated oligohydramnios in the third trimester. Methodology: A randomized controlled study was conducted at the Department of Obstetrics & Gynaecology, Pakistan Institute of Medical Sciences, Islamabad, over six months from March 2021 to September 2021. One hundred and twenty-six patients were enrolled, with 63 in each group. Patients with AFI < 5 cm in the third trimester, singleton pregnancies, and no associated maternal or fetal risk factors were included. Demographic data, AFI at baseline, and hydration details were collected. Patients were divided into two groups: one received oral rehydration solution (ORS) every 30 minutes, and the other received intravenous (IV) lactated Ringers solution over one week. APGAR scores at 1 & 5 minutes were compared between the two study groups using independent samples t-test. P value â‰¤0.05 was taken as significant. Results: Both groups were comparable in terms of demographic parameters and pre-intervention water intake. AFI increased significantly in both groups compared to baseline at various intervals and persisted even one week after the completion of the study. Urine specific gravity decreased significantly after one week in both groups. Birthweight and Apgar scores at 1 and 5 minutes were comparable in both groups. Conclusion: Both oral and intravenous hydration significantly increased amniotic fluid volume and were equally effective in correcting isolated oligohydramnios in the third trimester. Oral hydration is a non-invasive, cost-effective, and convenient alternative to intravenous hydration, offering potential benefits for pregnant women without the need for hospital admission or IV lines.

show abstract

Section: Discussionmentioning

confidence: 86%

Maternal Hydration with Intravenous Versus Oral Therapy in the Correction of Isolated Oligohydramnios in the third Trimester of Pregnancy

Nosheela Javed,

Mahjabeen,

Qurra tul Ain

et al. 2023

Ann Pak Inst Med Sci

View full text Add to dashboard Cite

show abstract

“…In a study by Mohamed et al (2021), oral hydration therapy improved oligohydramnios status in pregnant women. Moreover, this method also improved renal and uterine artery pulsatility indices [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of inhaled Desmopressin in pregnant women with idiopathic oligohydramnios – a randomized controlled trial

et al. 2022

View full text Add to dashboard Cite

The aim of this study was to investigate the therapeutic effect of inhaled Desmopressin (DDAVP) in pregnant women with idiopathic oligohydramnios. This randomized, double-blind clinical trial involved 44 pregnant women at 28–37 weeks of gestation with idiopathic oligohydramnios admitted in 2 academic hospitals in Mashhad, Iran, from 2018 to 2019. In the intervention group, 10µg DDAVP was nasally sprayed. The control group received intravenous maintenance fluid. The hematocrit, electrolytes, blood pressure and urine-specific gravity were evaluated at baseline and 3, 8, and 24 hours later. Amniotic fluid index (AFI) was measured using ultrasound at baseline, 24 and 48 hours later. There was no significant difference in the basic characteristics (age, body mass index, and gestational age) between the two groups. The pattern of changes of AFI (baseline, 24 and 48 hours later) increased in the intervention (4.16±0.86, 7.08±1.453 and 7.76±1.62, p<0.001) and control groups (4.23±0.70, 5.39±1.079 and 5.68±1.10, p<0.001). Serum sodium levels significantly declined in the intervention group (p<0.001) but not in the control group (p=0.07). There were no significant differences in potassium (p=0.89), hematocrit (p=0.23), systolic blood pressure (p=0.21) and diastolic blood pressure (p=0.97). However, urine-specific gravity had an increasing pattern in the intervention group (p<0.001) and a decreasing pattern in the control group (p<0.001). This study showed that Desmopressin inhalation could increase the AFI and urine specific gravity, enhancing oligohydramnios treatment in pregnant women, compared to serum administration.

show abstract

“…It also regulates temperature and serves as a small source of nutrition. The inhalation and ingestion of amniotic fluid may enhance the development and differentiation of lung and gastrointestinal tract tissues, respectively [1]. Amniotic fluid volume is an essential parameter during prenatal fetal testing in the second and third trimesters of pregnancy since it is an indication of fetal well-being.…”

Section: Introductionmentioning

confidence: 99%

Role of Cerebro Placental Ratio and Renal Artery Doppler Blood Flow in Pregnant Women with Idiopathic oligohydramnios

2024

Al-Azhar University Journal of Virus Researches and Studies

View full text Add to dashboard Cite

Acute Oral Hydration in Management of Oligohydramnios and Doppler Changes

Cited by 3 publications

References 12 publications

Maternal Hydration with Intravenous Versus Oral Therapy in the Correction of Isolated Oligohydramnios in the third Trimester of Pregnancy

Maternal Hydration with Intravenous Versus Oral Therapy in the Correction of Isolated Oligohydramnios in the third Trimester of Pregnancy

Efficacy of inhaled Desmopressin in pregnant women with idiopathic oligohydramnios – a randomized controlled trial

Role of Cerebro Placental Ratio and Renal Artery Doppler Blood Flow in Pregnant Women with Idiopathic oligohydramnios

Contact Info

Product

Resources

About