Oral hydration therapy in oligohydramnios

Ghafarnejad, Marzieh; Tehrani, Mehrnaz Barzi; Anaraki, Fatemeh Baradaran; Mood, Narges Izadi; Nasehi, Leyla

doi:10.1111/j.1447-0756.2009.01043.x

Cited by 19 publications

(6 citation statements)

References 16 publications

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“…Ghafarnejad 4 reported that with maternal oral hydration therapy, mean AFI improved from 50.8 to 67.2 mm (p < 0.001) while it increase 3d from 62.3 mm to 74.7 mm in 24 hours in our study.…”

Section: Discussionsupporting

confidence: 49%

Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios

Rawat¹,

Kaushik²,

Sachan³

2015

Journal of South Asian Federation of Obstetrics and Gynaecology

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Objective To evaluate the effect of maternal oral hydration therapy in 3rd trimester pregnancies with isolated oligohydramnios on amniotic fluid index (AFI) and maternal and perinatal outcome. Materials and methods A prospective study was conducted on 100 pregnant women in 3rd trimester with isolated oligohydramnios. Women were advised to drink 2 liters of fluids orally over 1 hour per day in the form of water, fruit juices, coconut water and to take rest in left lateral position. Amniotic fluid index was re-evaluated by ultrasonography done at 24 hours and then repeated at 48 hours of oral hydration therapy. Difference in prehydration and posthydration AFI was calculated for each selected cases at different intervals. Women were asked to continue the therapy of 2 liters per day orally in addition to routine fluid intake till delivery. All the women were followed till delivery and maternal and perinatal outcome was analyzed. Results The mean AFI increased from 6.23 ± 1.06 cm (pretreatment) to 7.47 ± 0.58 cm at 24 hours (p < 0.001) and to 7.80 ± 1.47 cm at 48 hours of oral hydration therapy (p < 0.001). In women with low AFI, there was increased rate of operative delivery and low Apgar score at birth. There were no perinatal deaths. Conclusion Maternal oral hydration therapy is simple to perform, noninvasive, nonexpensive, east to accept and an effective way of increasing AFI and results in improvement of perinatal outcome and decrease in operative interferences. How to cite this article Rawat R, Garg R, Kaushik A, Sachan R. Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios. J South Asian Feder Obst Gynae 2015;7(2):64-67.

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“…Ghafarnejad 4 reported that with maternal oral hydration therapy, mean AFI improved from 50.8 to 67.2 mm (p < 0.001) while it increase 3d from 62.3 mm to 74.7 mm in 24 hours in our study.…”

Section: Discussionsupporting

confidence: 49%

Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios

Rawat¹,

Kaushik²,

Sachan³

2015

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…Of these 16 articles, 8 met the inclusion criteria for the first endpoint [ 15 , 16 , 18 , 20 , 21 , 25 – 27 ], 4 for the second endpoint [ 14 , 18 , 20 , 22 ], 2 for the third endpoint [ 19 , 24 ] and 4 for the fourth endpoint [ 17 , 23 , 28 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Six studies reported data regarding oral hypotonic fluid administration (276 women), [ 15 , 16 , 18 , 20 , 25 , 27 ], three studies [ 18 , 20 , 21 ] reported data regarding intravenous isotonic fluid administration ≥2000ml (126 women) and one study regarding fluid intake <2000ml (20 women)[ 26 ], two studies regarding intravenous hypotonic fluid administration (82 women)[ 18 , 20 ]. The analysis of data regarding Δ variation in AFI index in a cohort of women with diagnosis of IO showed significant differences between the intervention group compared to the no treatment group considering both fixed and random effects.…”

Section: Resultsmentioning

confidence: 99%

An Update on Maternal Hydration Strategies for Amniotic Fluid Improvement in Isolated Oligohydramnios and Normohydramnios: Evidence from a Systematic Review of Literature and Meta-Analysis

et al. 2015

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ObjectiveSeveral trials aimed at evaluating the efficacy of maternal hydration (MH) in increasing amniotic-fluid-volume (AFV) in pregnancies with isolated oligohydramnios or normohydramnos have been conducted. Unfortunately, no evidences support this intervention in routine-clinical-practice. The aim of this systematic-literature-review and meta-analysis was to collect all data regarding proposed strategies and their efficacy in relation to each clinical condition for which MH-therapy was performed with the aim of increasing amniotic-fluid (AF) and improving perinatal outcomes.Materials and MethodsA systematic literature search was conducted in electronic-database MEDLINE, EMBASE, ScienceDirect and the Cochrane-Library in the time interval between 1991 and 2014. Following the identification of eligible trials, we estimated the methodological quality of each study (using QADAS-2) and clustered patients according to the following outcome measures: route of administration (oral versus intravenous versus combined), total daily dose of fluids administered (<2000 versus >2000), duration of hydration therapy: (1 day, >1 day but <1 week, >1 week), type of fluid administered (isotonic versus hypotonic versus combination).ResultsIn isolated-oligohydramnios (IO), maternal oral hydration is more effective than intravenous hydration and hypotonic solutions superior to isotonic solutions. The improvement in AFV appears to be time-dependent rather than daily-dose dependent. Regarding normohydramnios pregnancies, all strategies seem equivalent though the administration of hypotonic-fluid appears to have a slightly greater effect than isotonic-fluid. Regarding perinatal outcomes, data is fragmentary and heterogeneous and does not allow us to define the real clinical utility of MH.ConclusionsAvailable data suggests that MH may be a safe, well-tolerated and useful strategy to improve AFV especially in cases of IO. In view of the numerous obstetric situations in which a reduced AFV may pose a threat, particularly to the fetus, the possibility of increasing AFV with a simple and inexpensive practice like MH-therapy may have potential clinical applications. Considering the various strategies of maternal hydration implemented in the treatment of IO, better results were observed when treatment was based on a combination of intravenous (for a period of 1 day) and oral (for a period of at least 14 days) hypotonic fluids (≥2000ml).

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“…63 Idiopathic oligohydramnios has been found to be responsive to maternal hydration with no difference in IV versus oral hydration acutely or long term. [64][65][66][67] The effect, however, is short lived without continued efforts at hydration. 68 Oral hydration has been shown to change AFI in pregnancies with isolated gastroschisis.…”

Section: Oligohydramniosmentioning

confidence: 99%

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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Oral hydration therapy in oligohydramnios

Abstract: Acute oral hydration is a noninvasive, easily accessible and cheap intervention, and an effective way of increasing AFI.

Cited by 19 publications

References 16 publications

Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios

Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios

An Update on Maternal Hydration Strategies for Amniotic Fluid Improvement in Isolated Oligohydramnios and Normohydramnios: Evidence from a Systematic Review of Literature and Meta-Analysis

Amniotic fluid as a vital sign for fetal wellbeing

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