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12502

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

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Last updated: 03 Jan 2025

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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
 

DOI

10.21608/ejhm.2018.12502

Keywords

amniotic fluid index, maternal hydration, oligohydramnios

Authors

First Name

Abd El Moneim M.

Last Name

Zakaria

MiddleName

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Affiliation

Department of Obstetrics and Gynecology,Faculty of Medicine Al-Azhar University

Email

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Orcid

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First Name

Abd El Monsef A.

Last Name

Sedek

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Elmenshawy General Hospital

Email

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City

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Orcid

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First Name

Nader A.

Last Name

Abohassan

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology,Faculty of Medicine Al-Azhar University

Email

rare2010@yahoo.com

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Orcid

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Volume

73

Article Issue

2

Related Issue

2209

Issue Date

2018-10-01

Receive Date

2018-09-04

Publish Date

2018-09-04

Page Start

6,052

Page End

6,063

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_12502.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=12502

Order

13

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

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

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Article

Created At

22 Jan 2023