64 ABSTRACT Objective: To evaluate the effect of maternal oral hydration therapy in 3rd trimester pregnancies with isolated oligohydram- nios on amniotic fluid index (AFI) and maternal and perinatal outcome. Materials and methods: A prospective study was conducted on 100 pregnant women in 3rd trimester with isolated oligohy- dramnios. Women were advised to drink 2 liters of fluids orally over 1 hour per day in the form of water, fruit juices, coconut water and to take rest in left lateral position. Amniotic fluid index was re-evaluated by ultrasonography done at 24 hours and then repeated at 48 hours of oral hydration therapy. Diffe- rence in prehydration and posthydration AFI was calculated for each selected cases at different intervals. Women were asked to continue the therapy of 2 liters per day orally in addition to routine fluid intake till delivery. All the women were followed till delivery and maternal and perinatal outcome was analyzed. Results: The mean AFI increased from 6.23 ± 1.06 cm (pre- treatment) to 7.47 ± 0.58 cm at 24 hours (p < 0.001) and to 7.80 ± 1.47 cm at 48 hours of oral hydration therapy (p < 0.001). In women with low AFI, there was increased rate of operative delivery and low Apgar score at birth. There were no perinatal deaths. Conclusion: Maternal oral hydration therapy is simple to perform, noninvasive, nonexpensive, east to accept and an effective way of increasing AFI and results in improvement of perinatal outcome and decrease in operative interferences. Keywords: Amniotic fluid index, Maternal oral hydration, Oligohydramnios. How to cite this article: Rawat R, Garg R, Kaushik A, Sachan R. Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios. J South Asian Feder Obst Gynae 2015;7(2):64-67. Source of support: Nil Conflict of interest: None Date of received: 12 May Date of acceptance: 22 June Date of publication: August 2015 INTRODUCTION Oligohydramnios is one of the prevalent threatening con- dition to fetal health. It is a harbinger of adverse perinatal outcome, commonly associated with intra-uterine growth restriction, impairment of fetal pulmonary development, pressure induced deformities, congenital malformations, fetal distress, increased operative delivery and meconium aspiration. Maternal hydration therapy has been suggested in the literature to restore amniotic fluid volume to its normal range, and thereby reduce the associated perinatal mor- bidity and mortality. The present study was conducted to assess the efficacy of maternal oral hydration therapy especially on amniotic fluid index (AFI) in diagnosed cases of isolated oligohydramnios in 3rd trimester and its impact on perinatal outcome. MATERIALS AND METHODS The study was conducted in the department of obstetrics and gynecology, UP Rural Institute of Medical Science and Research, Saifai, Uttar Pradesh, India, over a period of 2 years. This prospective study was done to assess the effect of maternal oral hydration on AFI and pregnancy outcome in these women. Oligohydramnios was defined as AFI less than ‘10’ and severe oligohydramnios as AFI less than ‘5’ measured by four quadrant technique on ultrasonography. Amniotic fluid index was obtained sonographically by dividing the maternal abdomen into four quadrants, the linea nigra was used to divide abdo- men into right and left halves and umbilicus was used to separate upper and lower halves. The largest amniotic fluid pocket was identified in each quadrant free of fetal limbs and cord loops and its vertical diameter was taken. All four vertical diameters were added to obtain AFI in centimeters. 1 JSAFOG Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios 1 Rajani Rawat, 2 Ruchika Garg, 3 Amit Kaushik, 4 Ravi Sachan 1-4 Assistant Professor 1 Department of Obstetrics and Gynecology, UP Rural Institute of Medical Science and Research, Saifai, Uttar Pradesh, India 2 Department of Obstetrics and Gynecology, SN Medical College, Agra, Uttar Pradesh, India 3 Department of Social and Preventive Medicine, UP Rural Institute of Medical Science and Research, Saifai, Uttar Pradesh, India 4 Department of Pediatrics, UP Rural Institute of Medical Science and Research, Saifai, Uttar Pradesh, India Corresponding Author: Rajani Rawat, Assistant Professor Department of Obstetrics and Gynecology, UP Rural Institute of Medical Science and Research, Saifai, Uttar Pradesh, India Phone: 9457678964, e-mail: [email protected] ORIGINAL ARTICLE 10.5005/jp-journals-10006-1325
Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios
Apr 17, 2023
To evaluate the effect of maternal oral hydration therapy in 3rd trimester pregnancies with isolated oligohydramnios on amniotic fluid index (AFI) and maternal and perinatal outcome.
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