Oligohydramnios: a prospective study of fetal, neonatal and maternal outcomes in low-middle income countries

Figueroa, Lester; McClure, Elizabeth M; Swanson, Jonathan O.; Nathan, R.; Garcés, Ana; Moore, Janet; Krebs, Nancy F.; Hambidge, K. Michael; Bauserman, Melissa; Lokangaka, Adrien; Tshefu, Antoinette; Mirza, Waseem; Saleem, Sarah; Naqvi, Farnaz; Carlo, Waldemar A.; Chomba, Elwyn; Liechty, Edward A.; Esamai, Fabian; Swanson, David L.; Bose, Carl; Goldenberg, Robert L.

doi:10.1186/s12978-020-0854-y

Cited by 49 publications

(51 citation statements)

References 21 publications

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“…In our study we found that, oligohydramnios was less in SPPH group than non-SPPH group. Sarah Crimmins reported that polyhydramnios increased the risk of PPH 21 and Lester Figueroa et al reported that oligohydramnios was the risk factor of PPH 22 . We also found that with the interval between two CDs more than 4 years, the longer the time was, the greater the possibility of SPPH was.…”

Section: Discussionmentioning

confidence: 99%

Probability of severe postpartum hemorrhage in repeat cesarean deliveries: a multicenter retrospective study in China

et al. 2021

Sci Rep

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To determine the factors predicting the probability of severe postpartum hemorrhage (SPPH) in women undergoing repeat cesarean delivery (RCD). This multicenter, retrospective cohort study involved women who underwent RCD from January 2017 to December 2017, in 11 public tertiary hospitals within 7 provinces of China. The all-variables model and the multivariable logistic regression model (pre-operative, operative and simple model) were developed to estimate the probability of SPPH in development data and external validated in validation data. Discrimination and calibration were evaluated and clinical impact was determined by decision curve analysis. The study consisted of 11,074 women undergoing RCD. 278 (2.5%) women experienced SPPH. The pre-operative simple model including 9 pre-operative features, the operative simple model including 4 pre-operative and 2 intraoperative features and simple model including only 4 closely related pre-operative features showed AUC 0.888, 0.864 and 0.858 in development data and 0.921, 0.928 and 0.925 in validation data, respectively. Nomograms were developed based on predictive models for SPPH. Predictive tools based on clinical characteristics can be used to estimate the probability of SPPH in patients undergoing RCD and help to allow better preparation and management of these patients by using a multidisciplinary approach of cesarean delivery for obstetrician.

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Section: Discussionmentioning

confidence: 99%

Probability of severe postpartum hemorrhage in repeat cesarean deliveries: a multicenter retrospective study in China

et al. 2021

Sci Rep

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“…Another study depicted more incidence of caesarean section, haemorrhage and fetal malposition in women with oligohydramnios than those having normal AFV. It also revealed higher occurrence of intrauterine deaths, neonatal demise and low birth weight 22,8 . Our findings were a higher rate of operative delivery, occurrence of meconium, umbilical arterial blood acidosis and low APGAR scores in pregnant women with oligohydramnios.…”

Section: Discussionmentioning

confidence: 92%

Prediction of Short-Term Perinatal Outcome in Oligohydramnios at Termrole of Umbilical Cord Arterial Blood Lactate Levels

Tariq¹,

Afsheen

Iftikhar³

et al. 2021

PAFMJ

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Objective: Investigating the perinatal outcome in pregnant patients with oligohydramnios at term. Study Design: Prospective observational study. Place and Duration of Study: Department of Obstetrics and Gynaecology, Pakistan Naval Ship (PNS) Shifa Hospital Karachi, from Mar to Oct 2020. Methodology: The investigation comprised of 60 parturient ladies with gestational amenorrhoea of 37-42 weeks and no associated medical illnesses. Collection A consisted of 30 patients with maximum vertical pocket (MVP) <2cm or amniotic fluid index (AFI) ≤5cm. Collection B involved 30 pregnant women having normal amniotic fluid index >5cm. The 2 collections were tallied with respect to demographic characteristics and perinatal outcome particularly low birth weight, delivery mode, poor APGAR score, umbilical artery acidosis and meconium staining. Neonatal future stands upon evaluation of levels of lactate found in umbilical cord arterial blood. Results: According to our findings, commonest mode of childbirth 37 (61.7%) was Caesarean section. No statistical difference was found between the two aggregations of low weight at birth i.e. 4 (13.3%). Based on our study, meconium staining at birth was prevalent in 8 (13.3%) of neonates however no meconium aspiration was seen, umbilical artery acidosis was apparent in 27 (45%) and only 5 (8.3%) accounted for poor APGAR scores. Conclusion: Detrimental pregnancy aftermath and elevated perinatal morbidity correlates with oligohydramnios.

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“…Local centers and secondary care setups treat a large number of gynecology and obstetrics (GYOB) patients in the developing world [ 18 ]. All housewives in our cohort were referred from the GYOB departments.…”

Section: Discussionmentioning

confidence: 99%

Demographics, Biochemical Characteristics, and Phases of Chronic Hepatitis B Virus Infection: Retrospective Analysis From a Secondary Care Setup

Khan¹,

Haider²,

Nusrat³

et al. 2021

Cureus

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IntroductionHepatitis B virus (HBV) is the leading cause of cirrhosis in the developing world. Despite the development of effective vaccine(s) and direct-acting antivirals (DAAs) such as tenofovir and entecavir, the eradication of chronic HBV remains a distant dream in endemic regions. Factors such as treatment naivety, longer duration of disease, late diagnosis, family history of liver disorders and hepatocellular carcinoma, fatty liver disease, multiple comorbidities, alcoholism, use of tobacco products, noncompliance to drugs, and loss to follow-up all contribute to disease progression and development of complications.In order to promote a better understanding of the treatment initiation, duration, and eventual outcomes, the European Association for the Study of the Liver (EASL) updated its guidelines in 2017 and introduced a new staging system for chronic HBV. Since these guidelines are relatively recent, data regarding the new staging is virtually absent in local/regional settings. Moreover, it has been observed that patients presenting to secondary care setups at major urban centers have disease characteristics quite distinct from those of their rural counterparts or patients presenting to tertiary care setups, even in the same cities. Additionally, there is scarce published data with regard to this aspect. With this study, we hope to make progress on all of those fronts.

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Oligohydramnios: a prospective study of fetal, neonatal and maternal outcomes in low-middle income countries

Cited by 49 publications

References 21 publications

Probability of severe postpartum hemorrhage in repeat cesarean deliveries: a multicenter retrospective study in China

Probability of severe postpartum hemorrhage in repeat cesarean deliveries: a multicenter retrospective study in China

Prediction of Short-Term Perinatal Outcome in Oligohydramnios at Termrole of Umbilical Cord Arterial Blood Lactate Levels

Demographics, Biochemical Characteristics, and Phases of Chronic Hepatitis B Virus Infection: Retrospective Analysis From a Secondary Care Setup

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