Document Detail

Water intoxication-a dangerous condition in labor and delivery rooms.
MedLine Citation:
PMID:  17925046     Owner:  NLM     Status:  MEDLINE    
Water intoxication, a form of acute hyponatremia, has been described in various clinical situations. Although hyponatremia is a common metabolic disorder in hospitalized patients, it is generally not well known as a hazard in the labor and delivery room. However, several factors predispose laboring women to develop hyponatremia. Moreover, because the fetus acquires water from the maternal circulation via the placenta, and there is a close correlation between maternal and cord blood serum sodium levels, the newborn infant of a hyponatremic mother is also at considerable risk of developing water intoxication. We review the epidemiology, pathophysiology, clinical features, and treatment of this hazardous disorder. We emphasize the need for awareness of this condition, and call attention to the risk of fluid overload during labor.
Ella Ophir; Ido Solt; Marwan Odeh; Jacob Bornstein
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrical & gynecological survey     Volume:  62     ISSN:  0029-7828     ISO Abbreviation:  Obstet Gynecol Surv     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-10     Completed Date:  2008-01-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401007     Medline TA:  Obstet Gynecol Surv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  731-8     Citation Subset:  IM    
Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya, Israel.
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MeSH Terms
Antidiuretic Agents / adverse effects
Drinking / physiology
Hyponatremia / etiology
Iatrogenic Disease / prevention & control
Infant, Newborn
Obstetric Labor Complications / diagnosis,  epidemiology,  physiopathology*,  therapy
Oxytocin / adverse effects
Water Intoxication / diagnosis,  epidemiology,  physiopathology*,  therapy
Water-Electrolyte Balance / drug effects*,  physiology
Reg. No./Substance:
0/Antidiuretic Agents; 50-56-6/Oxytocin

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