Characteristics of Pregnant Women with Oligohydramnions Treated with Amnioinfusion at d DR. M. Djamil Padang
DOI:
https://doi.org/10.25077/aoj.7.2.372-378.2023Keywords:
pregnancy, oligohydramnios, congenital abnormality, premature, amnioinfusionAbstract
Introduction : Oligohydramnios is a condition of reduced amniotic fluid. This is often detected accidentally during ultrasonography examination so that there is often a delay in diagnosis. Amnioinfusion is one of the therapies given to pregnant women with oligohydramnios
Aim: This study aims to determine the characteristics of pregnant women with oligohydramnios who are treated with amnioinfusion
Method: This was a descriptive study using medical record data of inpatients at the Fetomaternal Polyclinic, Dr. M. Djamil Hospital Padang from March 2022 to March 2023. The inclusion criteria were pregnant women diagnosed with oligohydramnios and the exclusion criteria were multiple pregnancies. Sampling was done by total sampling.
Result: There were 12 pregnant womens who met the inclusion and exclusion criteria. Most of the subject aged 20-35 years (91.7%), high school graduates (58.3%), and multiparous (66.7%). There are as many as 50% of fetuses with congenital abnormalities. Most of the oligohydramnios were diagnosed in the third trimester (83.3%). Pregnant women with oligohydramnios have a relatively high proportion of preterm births (41.7%). Most of the subject still have good fetal outcome (alive) (66.7%).
Conclusion: Pregnant women with oligohydramnios had age, education and parity who were not at high risk but more often had fetuses with congenital abnormalities and premature births. Amnioinfusion reduces fetal mortality
References
Twesigomwe, G., Migisha, R., Agaba, DC et al. Prevalence and associated factors of oligohydramnios in pregnancies beyond 36 weeks of gestation at a tertiary hospital in southwestern Uganda. BMC Pregnancy Childbirth. 2022; 22 (610) https://doi.org/10.1186/s12884-022-04939-x
pregnancies beyond 36 weeks of gestation at a tertiary hospital in southwestern Uganda. BMC Pregnancy Childbirth. 2022; 22 (610) https://doi.org/10.1186/s12884-022-04939-x
RI Ministry of Health, 2016. Indonesian Health Profile. [Accessed May 2023]. Available inhttp://www.depkes.go.id/resources/do download/pusdatin/profil-kesehatanindonesia/Profil-Kesehatan-Indonesiatahun.2017.pdf
Wahyuni NS. Factors associated with oligohydramnios in RSUP Dr. M. Djamil Padang Year 2018. Thesis. Andalas University: Midwifery DIV Study Program. 2019
Dhiviya N, Cicily TJ, Kala BS. Prophylactic amnioinfusion in oligohydramnios. Int J Reprod Contracept Obstet Gynecol. 2020; 9(1):305-312
Friedman P, Ogunyemi D. Oligohydramnios. 2018: 512-4.
Bakhsh, H., Alenizy, H., Alenazi, S. et al. Amniotic fluid disorders and the effects on prenatal outcome: a retrospective cohort study. BMC Pregnancy Childbirth. 2021; 21(75). https://doi.org/10.1186/s12884-021- 03549-3
Ahmed DT, Hasan SA. The Relationship between Isolated Oligohydramnios at Term and Labor Mode: A Prospective-Observational Study. Annals of Neonatology Journal. 2022; 4(2): 9-24
Hegelund ER, Poulsen GJ, Mortensen LH. Educational Attainment and Pregnancy Outcomes: A Danish Register-Based Study of the Influence of Childhood Social Disadvantage on Later Socioeconomic Disparities in Induced Abortion, Spontaneous Abortion, Stillbirth and Preterm Delivery. Matern Child Health J. 2019;23(6):839-846. doi:10.1007/s10995-018-02704-1 1
Gandotra N, Mahajan N, Manhas A. Perinatal outcoßme associated with oligohydramnios at term. Int J Reprod Contracept Obstet Gynecol. 2020;9(9):3576-3579
Ibrahim HA, Zween ZM. Oligohydramnios and fetal outcome in term pregnancy. Zanco J. Med. Sci.2020; 24(3): 347-53.
Dai J, Shi Y, Wu Y, et al. The interaction between age and parity on adverse pregnancy and neonatal outcomes. Front Med (Lausanne). 2023;10:1056064. Published 2023 Feb 23. doi:10.3389/fmed.2023.1056064
Luo, J., Fan, C., Luo, M. et al. Pregnancy complications among nulliparous and multiparous women with advanced maternal age: a community-based prospective cohort study in China. BMC Pregnancy Childbirth. 2020; 20(581). https://doi.org/10.1186/s12884-020- 03284-1
KC S, Poudel R, Khadka S, Shrestha A. Prevalence of Congenital Anomalies in Oligohydramnios: A Hospital based study in Western Nepal. Nepalese Journal of Radiology. 2019;9(13):7- 11. https://doi.org/10.3126/njr.v9i1.24807
Mileto A, Itani M, Katz DS, et al. Fetal Urinary Tract Anomalies: Review of Pathophysiology, Imaging, and Management. AJR Am J Roentgenol. 2018;210(5):1010-1021. doi:10.2214/AJR.17.18371
Overcash RT, DeUgarte DA, Stephenson ML, et al. Factors associated with gastroschisis outcomes. Obstetric Gynecol. 2014;124(3):551-557. doi:10.1097/AOG.0000000000000425
Landella S, Lee D, Abbasi F, Morgan B. The effects of oligohydramnios on perinatal outcomes after preterm premature rupture of membranes. Perinatal Journal. 2021;29(1):27–32
Ulkumen BA, Pala HG, Baytur YB, Koyuncu FM. Outcomes and management strategies in pregnancies with early onset oligohydramnios. Clinic Exp Obstet Gynecol. 2015;42(3):355- 357.
Keilman C, Shanks AL. Oligohydramnios. [Updated 2022 Sep 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK562326/
Taneja A, Arora K, Chopra I, Naik SS. Pregnancy Outcomes in Isolated Oligohydramnios during Second Trimester: A Case Series. J Clin Diagn Res. 2017;11(8):QR01-QR02. doi:10.7860/JCDR/2017/27722.10502
Kohari K, Mehlhaff K, Merriam A, et al. A Novel Approach to Serial Amnioinfusion in a Case of Premature Rupture of Membranes Near the Limit of Viability. AJP Rep. 2018;8(3):e180- e183. doi:10.1055/s-0038-1669964
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Andio Rahman, Yusrawati
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
Authors who publish with this journal agree to the following terms:
- Authors retain the copyright of published articles and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
License:
Andalas Obstetrics and Gynecology Journal (AOJ) is published under the terms of the Creative Commons Attribution 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, compose, modify, and make derivatives of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.
