Zakaria, A., Sedek, A., Abohassan, N. (2018). Amniotic Fluid Changes and Doppler Studies in Unexplained Oligohydramnios before and after Intravenous Maternal Hydration. test, 73(2), 6052-6063. doi: 10.21608/ejhm.2018.12502
Abd El Moneim M. Zakaria; Abd El Monsef A. Sedek; Nader A. Abohassan. "Amniotic Fluid Changes and Doppler Studies in Unexplained Oligohydramnios before and after Intravenous Maternal Hydration". test, 73, 2, 2018, 6052-6063. doi: 10.21608/ejhm.2018.12502
Zakaria, A., Sedek, A., Abohassan, N. (2018). 'Amniotic Fluid Changes and Doppler Studies in Unexplained Oligohydramnios before and after Intravenous Maternal Hydration', test, 73(2), pp. 6052-6063. doi: 10.21608/ejhm.2018.12502
Zakaria, A., Sedek, A., Abohassan, N. Amniotic Fluid Changes and Doppler Studies in Unexplained Oligohydramnios before and after Intravenous Maternal Hydration. test, 2018; 73(2): 6052-6063. doi: 10.21608/ejhm.2018.12502

Amniotic Fluid Changes and Doppler Studies in Unexplained Oligohydramnios before and after Intravenous Maternal Hydration

The Egyptian Journal of Hospital Medicine
Article 13, Volume 73, Issue 2, October 2018, Pages 6052-6063    PDF (365.94 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2018.12502
Authors
Abd El Moneim M. Zakaria1; Abd El Monsef A. Sedek2; Nader A. Abohassan* 1
1Department of Obstetrics and Gynecology,Faculty of Medicine Al-Azhar University
2Department of Obstetrics and Gynecology, Elmenshawy General Hospital
Abstract
Background: role of intravenous hydration is well documented for the treatment of oligohydramnios. The present study concentrated on the efficacy of intravenous hydration in cases of unexplained oligohydramnios.Aim of the study: this study aimed to evaluate the effect of intravenous maternal hydration (hypotonic and isotonic fluid) in pregnancies with third-trimester oligohydramnios on amniotic fluid index and uteroplacental perfusion and fetal blood flow. Patients and Methods: this study was conducted in the Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Egypt, during the period from January 2017 to January 2018. A total of 60 pregnant women were included and parameters like age, parity, BMI, amniotic fluid index, urine specific gravity, hematocrit value, umbilical artery pulsatility index and uterine artery pulsatility index before and after maternal hydration were noted and compared. Results: intravenous maternal infusion of (1/2) normal saline (0.45%) at a rate of  1000 ml/hr for two hours has statistically difference in the mean amniotic fluid index ,in mean urine specific gravity, in mean umbilical artery pulsatility index and in mean uterine artery pulsatility index immediately after hydration,72 hr  and  one week after hydration (p<0.05). Conclusions: maternal intravenous hydration with hypotonic fluid can be used in the treatment of oligohydramnios
 
Keywords
amniotic fluid index; maternal hydration; oligohydramnios
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