Maternal intravenous hydration on the oligohydramnio
Abstract
Background: oligohydramnio frequently blocks a successful pregnancy and it is necessary to found therapeutics options that reduce its damages over the fetus.
Objective: to characterize the use of maternal intravenous hydration on the management of oligohydramnio.
Methods: an observational descriptive cross-sectional study was carried out. The universe was constituted by 1 272 pregnant women with gestational age ≥ 34 weeks who suffered from oligohydramnio. They were divided into 2 groups depending on the use or not of maternal intravenous hydration. A descriptive statistic with absolute and relative frequencies was used.
Results: the average of amniotic liquid index at the admission was 3.9 cm in group 1 and 4.1 cm in group 2, in which it increased until 6.2 cm after maternal intravenous hydration. 49.58 % of women in group 1 were cesarean and 63.29 % of women in group 2 have a eutocic labor. Fetal distress was the indication of cesarean in 182 and 139 pregnant women of group 1 and 2 respectively. 29 and 26 newborn of group 1 and 2 respectively have low birth weight.
Conclusions: maternal intravenous hydration increases the average of amniotic liquid index. The majority of hydrated maternal women have a eutocic labor, newborn complications were less in that group too.
DeCS: OLIGOHYDRAMNIOS/diagnosis; QUALITY OF LIFE; FETAL DEVELOPMENT; MORBIDITY; EPIDEMIOLOGY, DESCRIPTIVE.
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1. Cárdenas Ramón I, Martínez Camilo RV. Evaluación de un método de conducta en el oligohidramnios. Rev Cubana Obstet Ginecol [Internet]. 2006 [citado 30 Sep 2017];32(2):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/pdf/gin/v32n2/gin04206.pdf
2. Brace RA, Anderson DF, Cheung CY. Fetal Swallowing as a Protective Mechanism Against Oligohydramnios and Polyhydramnios in Late Gestation Sheep. Reprod Sci [Internet]. 2013 Mar [citado 17 Dic 2018];20(3):[aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3823504/pdf/10.1177_1933719112453510.pdf
3. Botella Llusía J, Clavero Nuñez JA. Líquido amniótico. En: Botella Llusía J, Clavero Nuñez JA. Tratado de ginecología. Fisiología femenina. 13 ed. La Habana: Científico-técnica; 1983.p.286-306.
4. Del Pilar Arévalo Rabe AM. Efectos de la hidratación intravenosa materna sobre el índice de líquido amniótico en pacientes con diagnóstico de oligohidramnios [tesis]. Guatemala: Universidad de San Carlos; 2014 [citado 17 Dic 2018]. Disponible en: http://www.repositorio.usac.edu.gt/1506/1/05_9441.pdf
5. Eixarch E, Figueras F. Guía clínica: oligohidramnios en gestación única [Internet]. Barcelona: Instituto Clínico de Ginecología, Obstetricia y Neonatología; 2014 [citado 17 Dic 2018]. Disponible en: https://medicinafetalbarcelona.org/clinica/images/protocolos/patologia__fetal/oligohidramnios.pdf
6. Romero Díaz C, Peña Abraham MM, Gutiérrez Valdés N, González Ungo E, Álvarez Rivera Y. Oligoamnios: epidemiología de un grave problema de la obstetricia moderna. Rev Ciencias Médicas [Internet]. 2009 Jun [citado 18 Dic 2018];13(2):[aprox. 10 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942009000200029&lng=es
7. Ulkumen BA, Pala HG, Baytur YB, Koyuncu FM. Outcomes and management strategies in pregnancies with early onset oligohydramnios. Clin Exp Obstet Gynecol. 2015;42:355.
8. Cárdenas Ramón I, Águila Setién S, Otero Iglesias J. Efectividad de la hidroterapia materna parenteral en el oligohidramnios aislado. Rev Cubana Obstet Ginecol [Internet]. 2009 [citado 30 Sep 2017];35(3):[aprox. 16 p.]. Disponible en: http://www.bvs.sld.cu/revistas/gin/vol35_3_09/gin06309.htm
9. Phelan JP, Smith CV, Braussond P, Smal M. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks gestation. J Reprod Med. 1987;32(7):540-2.
10. Bermúdez Mendoza SE. Comportamiento clínico y manejo del oligoamnios en embarazadas con más de 28 semanas, ingresadas en la sala de ARO II del HEODRA, León. Mayo 2014 a Mayo 2016 [tesis]. Nicaragua, León: Universidad Nacional Autónoma; 2017 [citado 17 Dic 2018]. Disponible en: http://riul.unanleon.edu.ni:8080/jspui/handle/123456789/5382
11. Doi S, Osada H, Seki K, Sekiya S. Effect of maternal hydration on oligohydramnios: a comparison of three volume expansion methods. Obstet Gynecol. 1998 Oct;92(4 Pt 1):525-9.
12. Kilpatrick SJ, Safford K, Pomeroy T, Hoedt L, Scheerer L, Laros RK. Maternal hydration affects amniotic fliud index (AFI). Am J Obst Gynecol. 1991;78(6):1098-102.
13. Borges VTM, Rososchansky J, Abbade JF, Dias A, Peraçoli JC, Rudge MVC. Effect of maternal hydration on the increase of amniotic fluid index. Braz J Med Biol Res [Internet]. Mar 2011 [citado 15 Dic 2018];44(3):[aprox. 4 p.]. Disponible en: http://www.scielo.br/pdf/bjmbr/v44n3/348.pdf
14. Malhotra B, Deka D. Duration of the increase in amniotic fluid index 9 AFI 0 after acute maternal hydration. Department of Obstetrics and Gynecology. All India Institute of Medical Sciences New Delhi, India. Arch Gynecol Obstet [Internet]. 2004 [citado 15 Dic 2018]; 269(3):[aprox. 3 p.]. Disponible en: https://lin k.springer.com/.../10.10 07 %2Fs00404-002-0346-z.pdf
15. Chien LN, Chiou HY, Wang CW, Yeh TF, Chen CM. Oligohydramnios increases the risk of respiratory hospitalization in childhood: a population-based study. Pediatric Research [Internet]. 2014 [citado 15 Dic 2018];75(4):[aprox. 6 p.]. Disponible en: https://www.nature.com/articles/pr2013247.pdf
16. Gizzo S, Noventa M, Vitagliano A, Dall´Asta A, D´Antona D, Aldrich CJ, et al. 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. PLoS One [Internet]. 2015 [citado 15 Dic 2018];10(12):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm .nih.gov/pmc/articl es/PMC46 842 38/pdf/pone.0144334.pdf
17. Williams O, Michel B, Hutchings G, Debauche C, Hubinont C. Two-year neonatal outcome following PPROM prior to 25 weeks with a prolonged period of oligohydramnios. Early Hum Dev [Internet]. 2012 [citado 15 Dic 2018];88(8):[aprox. 5 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S0378378212000400
18. Gallardo-Ulloa KL. Repercusiones perinatales en embarazo a término con oligohidramnios severo. Revista Médica MD [Internet]. 2013 [citado 30 Sep 2017];4(4):[aprox. 6 p.]. Disponible en: http://www.medigraphic.com/pdfs/revmed/md-2013/md134g.pdf
19. Zhanga J, Troendlea J, Meikle S, Klebanoff MA, Rayburn WF. Isolated oligohydramnios is not associated with adverse perinatal outcomes. Br J Obstet Gynaecol [Internet]. 2004 Mar [citado 30 Sep 2017];III:[aprox. 5 p.]. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2004.00060.x/epdf
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