medigraphic.com
SPANISH

Revista Archivo Médico de Camagüey

ISSN 1025-0255 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 1

<< Back Next >>

AMC 2019; 23 (1)

Maternal intravenous hydration on the oligohydramnio

Amador-de-Varona CI, Cabrera-Figueredo I, Rodríguez-Fernández JM, Valdés-Dacal S, Niño-Victoria Y, Nieves-Martínez J
Full text How to cite this article

Language: Spanish
References: 19
Page: 85-94
PDF size: 638.39 Kb.


Key words:

oligohydramnios/diagnosis, quality of life, fetal development, morbidity, epidemiology descriptive.

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.


REFERENCES

  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 femeni-na. 13 ed. La Habana: Científico-técnica; 1983.p.286-306.

  4. Del Pilar Arévalo Rabe AM. Efectos de la hi-dratación intravenosa materna sobre el índice de líquido amniótico en pacientes con diagnós-tico de oligohidramnios [tesis]. Guatemala: Universidad de San Carlos; 2014 [citado 17 Dic 2018]. Disponible en: http://www.repositorio.usac.edu.gt/1506/1/059441.pdf

  5. Eixarch E, Figueras F. Guía clínica: oligohi-dramnios en gestación única [Internet]. Barce-lona: Instituto Clínico de Ginecología, Obstetri-cia y Neonatología; 2014 [citado 17 Dic 2018]. Disponible en: https://medicina fetalbarcelona.org/clinica/images/protocolos/patologia_fetal/oligohidramnios.pdf

  6. Romero Díaz C, Peña Abraham MM, Gutié-rrez Valdés N, González Ungo E, Álvarez Rive-ra Y. Oligoamnios: epidemiología de un grave problema de la obstetricia moderna. Rev Cien-cias 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 ma-terna 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 ges-tation. J Reprod Med. 1987;32(7):540-2.

  10. Bermúdez Mendoza SE. Comportamiento clínico y manejo del oligoamnios en embaraza-das con más de 28 semanas, ingresadas en la sala de ARO II del HEODRA, León. Mayo 2014 a Mayo 2016 [tesis]. Nicaragua, León: Univer-sidad 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 meth-ods. 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 ma-ternal 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 in-crease in amniotic fluid index 9 AFI 0 after acute maternal hydration. Department of Ob-stetrics and Gynecology. All India Institute of Medical Sciences New Delhi, India. Arch Gyne-col 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 Oligo-hydramnios 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 perinata-les en embarazo a término con oligohidram-nios 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 out-comes. 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




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

AMC. 2019;23