Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume

Hofmeyr, G Justus; Gülmezoglu, A Metin

doi:10.1002/14651858.cd000134

Cited by 55 publications

(58 citation statements)

References 14 publications

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“…18 In the institution's routine, oral or intravenous hydration of the mother is performed in an attempt to preserve the volume of the amniotic cavity, although there is no evidence to recommend the practice. 21 In our study a decrease in AFI was observed with the progression of gestational age, even with maternal hydration, and consequent risks for the development of adverse perinatal outcomes. It should be noted that this study was not designed to observe the effect of maternal hydration on amniotic fluid volume in patients with PPROM, and further studies are needed to determine this association.…”

Section: Discussionsupporting

confidence: 52%

Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes

Souza

Patriota

Guerra

et al. 2016

Rev. Assoc. Med. Bras.

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Objective: To determine the association between amniotic fluid index (AFI) and perinatal outcomes in preterm premature rupture of membranes (PPROM). Method: A retrospective cohort study was conducted between 2008 and 2012. 86 pregnant women were included, with a diagnosis of PPROM and gestational age from 24 to 35 weeks. Women who presented hypertensive disorders, diabetes, fetuses with birth defects and infection at admission were excluded. To determine the association between AFI and perinatal outcomes, chi-square and Fisher's exact test were used if necessary, as well as risk ratio (RR) and 95% confidence intervals (95CI). Correlation between AFI and perinatal outcomes was determined by using simple linear regression, and AFI progression during pregnancy was analyzed by Z-test. Results: When comparing newborns presenting ultrasound with AFI<5cm and AFI>5cm, there was a higher frequency of perinatal mortality when the AFI was lower than 5 cm. However, when the oligohydramnios was diagnosed as severe (AFI<3cm), there was a higher frequency of Apgar scores less than seven at 1 minute, neonatal sepsis and early neonatal mortality compared to those presenting AFI>3cm. There was a positive correlation between AFI and gestational age at delivery, birth weight and Apgar scores at minutes 1 and 5. There was also a decrease in amniotic fluid volume with increased gestational age. Conclusion:The presence of severe oligohydramnios after PPROM contributed to a higher frequency of perinatal complications and death.

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Section: Discussionsupporting

confidence: 52%

Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes

Souza

Patriota

Guerra

et al. 2016

Rev. Assoc. Med. Bras.

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show abstract

“…15,16 Once diagnosed, oligohydramnios should prompt intensive fetal biophysical surveillance and is commonly managed with maternal hydration and bed rest. 14,25 Prenatal detection of oligohydramnios should also prompt a thorough maternal examination for complicating comorbidities such as diabetes or hypertension. 25 In the case reported here, oligohydramnios may have impaired fetal mobility and prevented the fetus from assuming a cephalic presentation.…”

Section: Discussionmentioning

confidence: 99%

“…25 In the case reported here, oligohydramnios may have impaired fetal mobility and prevented the fetus from assuming a cephalic presentation. 14 When breech presentation persists to full term and cesarean delivery is performed instead of vaginal births, outcomes are improved; and the relative risk of neonatal death or serious morbidity is reduced by 33%. 2,13 These reductions in morbidity and mortality come at the expense of slightly increased maternal morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…13 A deficiency of amniotic fluid is known as oligohydramnios, and breech presentation may be a sign of this disorder. 14 Early identification of oligohydramnios is important because this condition is associated with increased fetal morbidity and mortality. 15,16 Much is unknown about the efficacy of the Webster technique for addressing breech presentation.…”

Section: Introductionmentioning

confidence: 99%

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Breech repositioning unresponsive to Webster technique: coexistence of oligohydramnios

Roecker

2013

Journal of Chiropractic Medicine

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Objective: The purpose of this report is to describe the results of a pregnant woman demonstrating breech fetal presentation who was managed with Webster technique in the presence of oligohydramnios. Clinical Features: A 23-year-old primigravida woman sought chiropractic care for the management of breech presentation and bilateral sacroiliac arthralgia at 34 weeks' gestation. Intervention and Outcome: Sacral manipulation and abdominal effleurage (Webster Technique) was used to address breech presentation and sacroiliac arthralgia for a total of 7 treatments over a 3 1/2-week duration. The patient's sacroiliac pain reduced from 8/10 to 3/10. However, breech presentation was unchanged at each treatment. At a scheduled prenatal surveillance during the 37th week of gestation, the midwife detected vaginal bleeding and reduced fundal height, which resulted in hospitalization, diagnosis of oligohydramnios, and an emergency cesarean delivery. Conclusion: For this particular patient, the breech presentation was not corrected using the Webster technique. Clinicians who use the Webster technique to manage breech fetal presentation should be aware of undiagnosed comorbidities as a complicating factor in clinical presentation. Screening for previously undiagnosed comorbidities, such as oligohydramnios, must be considered.

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“…25,26 Maternal hydration may theoretically increase amniotic fluid volume by causing fetal diuresis and by improving placental perfusion. An effective, non-invasive method of increasing amniotic fluid volume may have several applications in obstetric practice.…”

Section: Introductionmentioning

confidence: 99%

Effect of hydration therapy on oligohydramnios

Cicily

Sams

Gopal

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Oligamnios is defined as an AFI <5cm, SDP <2cms or an AFI below the 5th centile for the gestational age and is associated with many maternal and perinatal complications. An effective, non-invasive method of increasing AFV is the hydration therapy. The objective of present study was to determine the impact of hydration therapy in patients complicated by oligamnios and to measure the maternal and perinatal outcome in oligamnios corrected by Intravenous hydration therapy.Methods: It is a randomised control trial done at Government Medical College, Kottayam, Kerala, India from Jan 2012 to May 2013. 136 singleton pregnant females with gestation age >34 weeks with AFI <5 cms were randomised into an Intervention group who receive 1 litre of ringer lactate i.v given daily for 5 days and nonintervention group who were kept under observation by serial ultrasound and antepartum fetal surveillance. All were followed-up till delivery to obtain maternal and perinatal outcomes.Results: Among the 68 who were given intervention, 61 responded and 7 were non responders. With hydration therapy, mean increase in AFI was 4 cm and minimum duration needed for improvement was one week. Hydration therapy showed significant improvement in the maternal and fetal outcomes. Intravenous route of maternal hydration has the advantage that a fixed amount of fluid can be infused at a relatively constant rate with ensured compliance.Conclusions: From the study, it was concluded that Hydration therapy is an excellent method to improve AFI in Oligohydramnios and maternal and perinatal outcome.

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Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume

Cited by 55 publications

References 14 publications

Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes

Evaluation of perinatal outcomes in pregnant women with preterm premature rupture of membranes

Breech repositioning unresponsive to Webster technique: coexistence of oligohydramnios

Effect of hydration therapy on oligohydramnios

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