Hydration Therapy in Oligohydramnios

Marwa Mohamed El-Araby Sobieh;

Abstract


Summary
T
he current study was a prospective randomized interventional controlled study, conducted on 50 pregnant women with isolated oligohydramnios in gestational age > 32 weeks. Women were divided into two groups, group I (Oral hydration), group II (Intervenous hydration).
There was no statistically significant difference between the two groups as regards anthropometric data.
The mean ± SD for age in group I was 25.4 ± 4.7 with a range of 20-35 years of age and in group II was 27.3 ± 4.1 with a range of 20-33 years of age. While the weight in group I mean ± SD was 79.5 ± 9.5 with a range of 60-92 kgs and in group II was 81.2 ± 6.9 with a range of 71-96 kgs.
The range of height was 154-170 cm in group I, and 155-172 cm in group II. BMI in group I was 30.7 ± 3.4 (24-36) mean ± SD (range), and in group II was 30.6 ± 1.6 (29-34).
GA at time of intervention ranged from 33-40 weeks in group I and from 33-41 weeks in group II.
AFI before intervention was 4.2 ± 1.0 in group I with a range of 3-6 and it was 4.2 ± 1.1 in group II with a range of 3-7.5. The change in AFI in group I was 2.4 ± 1.1 with a range of 0-4, and in group II it was 1.9 ± 1.2 with the same range 0-4. While the percentage of change was 57.3 ± 29.1 (0-100) in group I and 47.5 ± 32.8 (0-116.7) in group II.
There was highly significant increase in amniotic fluid index after intervention in the both groups but no significant difference between the two groups as regard AFI before and after intervention.
The percentage of preterm deliveries in group I was 16% and 24% in group II (P value 0.48) which is not statistically significant; 64% of group I deliver by cesarean section while in group II in it was 52% (P value 0.39).
Neonatal admission in NICU was 16% in group I and 12% in group II with no statistically significant difference.
The time between intervention (hydration) and delivery in group I ranged from 0-7 days with a mean ± SD (2.2 ± 1.7), while in group II it ranged from 0-4 days with a mean ± SD (1.3 ± 1.2). So, the time to delivery was significantly longer in group I.


Other data

Title Hydration Therapy in Oligohydramnios
Other Titles العلاج الإروائى لقلة السائل الأمنيوسى
Authors Marwa Mohamed El-Araby Sobieh
Issue Date 2015

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