Document Detail


The experience of amnioinfusion for oligohydramnios during the early second trimester.
MedLine Citation:
PMID:  18182345     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: In the past, oligohydramnios occurring early during the secondary trimester was the reason to terminate the pregnancy because of poor prognosis. Even though amnioinfusion has been reported for improving the prognosis of the infant, it is still not frequently used because of unfavorable results. We present our experience with amnioinfusion for oligohydramnios with or without preterm premature rupture of membranes. MATERIALS AND METHODS: A retrospective study was performed from July 2005 to December 2006 in our hospital. Amnioinfusions were performed in pregnant women found with oligohydramnios during their second trimesters. Chromosomal studies were recommended and performed under informed consent. Level II sonography was performed after each amnioinfusion. Magnetic resonance imaging was arranged for those with suggested urinary tract malformations. RESULTS: Seventeen cases were included in our study. No mother was exposed to drugs that have been associated with oligohydramnios. The women received one to six procedures of amnioinfusion separately with a total of 28 procedures. Only one procedure failed. No chromosomal anomalies were found. Fetal anomalies were found after amnioinfusion in five cases. One woman had preterm delivery within 1 week after amnioinfusion. In the four cases of oligohydramnios with rupture of membranes, one case had a healthy full-term baby delivered. In the 13 cases of oligohydramnios without rupture of membranes, there were two preterm infants delivered before 34 weeks of gestation, including pulmonary hypoplasia in one neonate, and three healthy babies delivered after 35 weeks of gestation. CONCLUSION: Amnioinfusion performed the first time might provide some benefits for those with early-onset oligohydramnios, such as to provide confirmation of rupture of membranes, detailed sonography examination and further counseling. We would recommend that this procedure be considered once for these cases.
Authors:
Tian-Lun Hsu; Te-Yao Hsu; Ching-Chang Tsai; Chia-Yu Ou
Related Documents :
16222345 - The effect of prolonged rupture of membranes on circulating neonatal nucleated red bloo...
2206055 - Cases with ruptured membranes that "reseal".
11472575 - Spontaneous labor increases nitric oxide synthesis during the early neonatal period.
18681835 - Prelabor rupture of membranes at term requiring labor induction - a feature of occult f...
20143215 - Risk factors for mortality in neonatal tetanus: a 15-year experience in sagamu, nigeria.
15304465 - Fetal loss associated with excess thyroid hormone exposure.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  46     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-01-09     Completed Date:  2008-02-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  395-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Amniotic Fluid / physiology
Female
Fetal Membranes, Premature Rupture / diagnosis,  therapy
Fluid Therapy / methods*
Humans
Oligohydramnios / therapy*
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, Second
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Risk factors for spontaneous preterm delivery before 34 weeks of gestation among Taiwanese women.
Next Document:  Vulvovaginal candidiasis and its related factors in diabetic women.