Archivo Médico de Camagüey (Jan 2019)

Maternal intravenous hydration on the oligohydramnio

  • Caridad Irene Amador-de-Varona,
  • Ignacio Cabrera-Figueredo,
  • José Manuel Rodríguez-Fernández,
  • Sigfrido Valdés-Dacal,
  • Yanelda Niño-Victoria,
  • Jany Nieves-Martínez

Journal volume & issue
Vol. 23, no. 1
pp. 85 – 94

Abstract

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Background: oligohydramnio frequently blocks a successful pregnancy and it is necessary to found therapeutics options that reduce its damages over the fetus. Objective: to characterize the use of maternal intravenous hydration on the management of oligohydramnio. Methods: an observational descriptive cross-sectional study was carried out. The universe was constituted by 1 272 pregnant women with gestational age ≥ 34 weeks who suffered from oligohydramnio. They were divided into 2 groups depending on the use or not of maternal intravenous hydration. A descriptive statistic with absolute and relative frequencies was used. Results: the average of amniotic liquid index at the admission was 3.9 cm in group 1 and 4.1 cm in group 2, in which it increased until 6.2 cm after maternal intravenous hydration. 49.58 % of women in group 1 were cesarean and 63.29 % of women in group 2 have a eutocic labor. Fetal distress was the indication of cesarean in 182 and 139 pregnant women of group 1 and 2 respectively. 29 and 26 newborn of group 1 and 2 respectively have low birth weight. Conclusions: maternal intravenous hydration increases the average of amniotic liquid index. The majority of hydrated maternal women have a eutocic labor, newborn complications were less in that group too. DeCS: OLIGOHYDRAMNIOS/diagnosis; QUALITY OF LIFE; FETAL DEVELOPMENT; MORBIDITY; EPIDEMIOLOGY, DESCRIPTIVE.