Gallardo UKL, Panduro-Barón JG, Camarena-Pulido EE, Quintero-Estrella IM, Barrios-Prieto E, Fajardo-Dueñas S

Language: Spanish
References: 9
Page: 245-250
PDF size: 557.91 Kb.

ABSTRACT

Context: Severe oligohydramnios has been associated with an increased morbidity in the newborn, the most frequently documented adverse events in literature have been low APGAR scores, meconium in amniotic fluid, altered fetal heart rate and admission to neonatal intensive care units. The objective of this study is to document perinatal outcomes in full term pregnancies with severe oligohydramnios in Juan I. Menchaca Civil Hospital in Guadalajara.
Materials and Methods. This is a descriptive transversal study that included 32 women with full term pregnancy and severe oligohydramnios in Guadalajara Civil Hospital. Diverse maternal and fetal variables were used to analyze morbidity presented in newborns.
Results. Most patients did not have proper prenatal attention (90.7%). In most patients a cesarean section was performed at the end of pregnancy (78%) due to existing severe oligohydramnios. Only 2 patients had meconium stained amniotic fluid. Acceptable APGAR scores were obtained in most cases (96.8%), no congenital malformations were present and none of the newborns required admission to the neonatal intensive care unit.
Conclusions. In this study patients with severe idiopathic oligohydramnios did not have increased adverse neonatal outcomes compared to patients with normal amounts of amniotic fluid. Therefore outcome of the pregnancy will depend on the nature of the oligohydramnios, since no perinatal complications were observed in this group of patients presenting severe oligohydramnios.

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