The role of antepartum transabdominal amnioinfusion in the management of oligohydramnios in pregnancy

被引:18
作者
Butt, Fatima T. [1 ]
Ahmed, Badreldeen [1 ]
机构
[1] Hamad Med Corp, Womens Hosp, Feto Maternal Unit, Doha, Qatar
关键词
Transabdominal amnioinfusion; oligohydramnios; pregnancy outcome; perinatal mortality; perinatal morbidity; PULMONARY HYPOPLASIA; PREMATURE RUPTURE; INTACT MEMBRANES; OUTCOMES;
D O I
10.3109/14767058.2010.497574
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Methods. aEuro integral The study consisted of a retrospective analysis of 17 pregnant women presenting with oligohydramnios who were treated with amnioinfusion during pregnancy in a period from 2003 to 2006. Results. aEuro integral The mean gestational age at first treatment was 24 weeks. The mean pre-procedure deepest pool of amniotic fluid was 1.8 cm and post-procedure was 3.8 cm. The mean number of infusions was 1.05. The mean first infusion to delivery interval was 31 days. Perinatal mortality was 88%% and neonatal mortality was 35%%, with only one baby surviving the neonatal period. There were three cases of chorioamnionitis, with one of these cases presenting with premature rupture of the membranes at the time of amnioinfusion. Conclusions. aEuro integral Transabdominal amnioinfusion is a useful procedure to reduce complications that result from oligohydramnios. Although the results show a high perinatal mortality, it must be borne in mind that most of these pregnancies had multiple fetal abnormalities with an already predicted poor outcome. Importantly, as this procedure increases the latency period, it may be useful in preterm pregnancies where prolonging the duration of the pregnancy may result in better perinatal outcome by improving important factors that influence survival including increased birthweight.
引用
收藏
页码:453 / 457
页数:5
相关论文
共 14 条
[1]   EXPERIMENTAL PULMONARY HYPOPLASIA AND OLIGOHYDRAMNIOS - RELATIVE CONTRIBUTIONS OF LUNG FLUID AND FETAL BREATHING MOVEMENTS [J].
ADZICK, NS ;
HARRISON, MR ;
GLICK, PL ;
VILLA, RL ;
FINKBEINER, W .
JOURNAL OF PEDIATRIC SURGERY, 1984, 19 (06) :658-665
[2]   Optimizing outcomes for neonatal ARPKD [J].
Beaunoyer, Mona ;
Snehal, Mohile ;
Li, Li ;
Concepcion, Waldo ;
Salvatierra, Oscar, Jr. ;
Sarwal, Minnie .
PEDIATRIC TRANSPLANTATION, 2007, 11 (03) :267-271
[3]  
Callen PW, 2000, ULTRASONOGRAPHY IN OBSTETRICS AND GYNECOLOGY, P188
[4]   Outcomes of dialysis initiated during the neonatal period for treatment of end-stage renal disease: A North American Pediatric Renal Trials and Collaborative Studies special analysis [J].
Carey, William A. ;
Talley, Lynya I. ;
Sehring, Sally A. ;
Jaskula, Janet M. ;
Mathias, Robert S. .
PEDIATRICS, 2007, 119 (02) :E468-E473
[5]  
FISK NM, 1991, OBSTET GYNECOL, V78, P270
[6]   Transabdominal antepartum amnioinfusion [J].
Gramellini, D ;
Fieni, S ;
Kaihura, C ;
Faiola, S ;
Vadora, E .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2003, 83 (02) :171-178
[7]   Amnioinfusion in the management of oligohydramnios [J].
Gramellini, D ;
Piantelli, G ;
Delle Chiaie, L ;
Rutolo, S ;
Vadora, E .
JOURNAL OF PERINATAL MEDICINE, 1998, 26 (04) :293-301
[8]  
*NICE, 2006, THER AMN OL PREGN EX
[9]   A case controlled study of serial transabdominal amnioinfusions in the management of second trimester oligohydramnios due to premature rupture of membranes [J].
Ogunyemi, D ;
Thompson, W .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2002, 102 (02) :167-172
[10]   Severe oligohydramnios with intact membranes: An indication for diagnostic amnioinfusion [J].
Pryde, PG ;
Hallak, M ;
Lauria, MR ;
Littman, L ;
Bottoms, SF ;
Johnson, MP ;
Evans, MI .
FETAL DIAGNOSIS AND THERAPY, 2000, 15 (01) :46-49