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ISSN 1025-0255 (Electronic)

2013, Number 6

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AMC 2013; 17 (6)

Oligohydramnios: meter of fetal health

Amador VCI, Rodríguez FJM, Mari PA, Valdés DS

Language: Spanish
References: 20
Page: 702-716
PDF size: 187.98 Kb.


ABSTRACT

Background: oligohydramnios, diagnosis added to the obstetric practice in the last decades, is an important cause of fetal mortality and has increased the indicator of Cesarean section. It is known that the fetal damage is proportional to the time of exposure of the fetus to the causes that provoke it.
Objective: to determine the repercussions of the oligohydramnios in women with pregnancies of risk.
Methods: a prospective, observational, descriptive study of the behaviour of the oligohydramnios was conducted from 2010 to 2012 at the Ana Betancourt de Mora Provincial GynecologicalObstetric Teaching Hospital in Camagüey. The universe was composed of the pregnant women diagnosed with oligohydramnios. The data were collected by means of a survey, according to the objectives and purposes of the research; the primary data were obtained from the register of the Imagenology department and from the patients’ charts. In the statistical analysis a variables relation was applied and a statistical provability was found for which Microsoft Word and Microsoft Excell for Windows 98 were used.
Results: over the years, the number of inductions increased and normal childbirths prevailed, being 2454 of a total of 4199 inductions. On the other hand, abnormal childbirths, in this type of beginning the labor, were 1745 for a 41, 5 %. The most frequent ages were between 20 and 30 years old, which tallies with the age that most women give birth with in the country. Classical Cesarean section was the most frequent in the study with 293 patients; induction was present as a way to start labor in women that presented severe oligohydramnios.
Conclusions: over the years there was an increase of the number of inductions caused by this diagnosis. Oligohydramnios was present in most nulliparous women. The type of childbirth that prevailed was abnormal by classical Cesarean section. The diagnosis of greatest incidence was fetal distress. One of the causes of fetal mortality was low weight at birth, whether because of being born prematurely or because of intrauterine growth restriction.


REFERENCES

  1. Gonçalves Dias JM, Silva KC da, Paula SPS de. Prevalência de oligomnioem pacientes internadas no altorisco de Maternidade Pública do Estado de Sergipe no período de 2004 a 2006. Rev méd Minas Gerais [Internet]. AbrJun 2011 [citado 12 Abr 2013];21(2):[aprox. 8 p.]. Disponible en: http://rmmg.medicina.ufmg.br/index.php/rmmg/article/viewFile/364/349

  2. Nabhan Ashraf F, Abdelmoula Yaser A. Índice de líquido amniótico versus bolsa vertical única más profunda como prueba de detección para la prevención de resultados adversos del embarazo. Resúmenes Cochrane. 2009 Jul 8;30(1):21214.

  3. ZavalaCoca CA, Pacheco Romero J, Flujo venoso fetal e índice cerebro placentario como indicadores de hipoxia fetal en gestantes preeclámpticas severas. Rev Per Ginecobstetricia. 2011;57(3):2345.

  4. Grivel RM, Wong L, Bhatia V. Regimens of fetal surveillance for impaired fetal growth. Cochrane Database Syst Rev. 2009;(1):CD007113.

  5. YbasetaSoto M, MoralesEspinoza K, YbasetaMedina J. Valoración ultrasonográfica simplificada del oligohidramnios e indicación de cesárea por sufrimiento fetal / Simplified ultrasonographic assessment of oligohydramnios and cesarean section for fetal distress indication abstract. Rev Méd Panacea. 2011 MayAgo;1( 2):346.

  6. Gallarreta FMP, Paula MW de, Morais En de, Nicolau LG, Barra Abreu D de, MauadFilho F. Current aspects of oligohydramnios assessed by ultrasound and perinatal outcomes. Femina. 2009 Ago;37(8):4437.

  7. Carrillo MP, Presa JC, Molina FS, Valverdey M, Puertas AM. Efecto de los inhibidores de los receptores de angiotensina II en la gestación. Clin Invest Gin Obst. 2010;37(4):1668.

  8. Corrales Gutiérrez A, Carrillo González TT, Benavides Casal ME, Borges Echevarría P. Resultados perinatales de la conducta expectante en el manejo del embarazo prolongado. Rev Cuba Obstet Ginecol. EneAbr 2008;34(1):239.

  9. Ledger WJ. Prophylactic antibiotics in obstetricsgynecology: a current asset, a future liability? Expert Rev Anti Infect Ther. 2006;4(6):95764.

  10. RodríguezCoutiño SI, RamosGonzález R, HernándezHerrera RJ. Factores de riesgo para la prematurez. Estudio de casos y controles. Ginecol Obstet Mex [Internet]. 2013 [citado 12 Abr 2013];81:[aprox. 5 p.]. Disponible en: www.femecog.org.mx

  11. Baschat AA, Galan HL, Ross MG, Gabbe SG. Intrauterine growth restriction. In: Gabbe SG, Niebyl JR, Simpson JL, editors. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, Pa: Saunders Elsevier; 2012. p. 3189.

  12. Menacker F, Declercq E, Macdorman MF. Cesarean delivery: background, trends, and epidemiology. Semin Perinatol. 2006;30(5):23541.

  13. Casagrandi Casanova D. Tendencia de algunos indicadores relacionados con la cesárea. Rev Cubana Obstet Ginecol [Internet]. SepDic 2007 [citado 16 Ene 2013];33(3):[aprox. 5 p.]. Disponible en: http://bvs.sld.cu/revistas/gin/vol33_3_07/gin03307.pdf

  14. Dias JMG, Silva KC da, Paula SPS de. Oligoamnios prevalence among highrisk patients at a public maternity hospital in State of Sergipe, Brazil, 20042006. Rev Méd Minas Gerais. 2011 AbrJun;21( 2):3442.

  15. Farinelli CK, Wing DA. Abnormal labor and induction of labor. In:Gabbe SG, Niebyl JR, Simpson JL, editors. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, Pa: Saunders Elsevier; 2012. p. 6788.

  16. Rodríguez GM, Egaña UG, Márquez AR. Ultrasonografía doppler en embarazos de término con oligohidroamnios aislado. Rev Chil Obstet Ginecol. 2010;75(5):30611.

  17. Kilsztajn S. Apgar score associated with mode of delivery in Sao Paulo State Brazil. Cad Saùde Pública. 2007;23(8):188692.

  18. Rouse DJ, MacPherson C, Landon M, Varner MW, Leveno KJ, Moawad AH, et al. Blood transfusion and cesarean delivery. Obstet Gynecol. 2006;108(4):8917.

  19. Haberman S, Rotas M, Perlman K, Feldman JG. Variations in compliance with documentation using computerized obstetric records. Obstet Gynecol. 2007;110(1):1419.

  20. Gaspar Vallecillo M, Niz Ramos J, Alvarado Duran A. Parto distócico por desproporción fetopelvica. Rev Med Honduras [Internet]. 1975 [citado 16 Ene 2011];43(4):[aprox. 6 p.]. Disponible en: http://www.bvs.hn/RMH/pdf/1975/pdf/Vol43419755. pdf




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