Effect of Oral Hydration Therapy on Isolated Oligo-Hydroamnios Cases & Perinatal Outcome

2014 ◽  
Vol 03 (02) ◽  
Keyword(s):  
Perinatal Outcome ◽  
Oral Hydration ◽  
Hydration Therapy

scholarly journals Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios

2015 ◽  
Vol 7 (2) ◽  
pp. 64-67
Author(s):  
Rajani Rawat ◽  
Amit Kaushik ◽  
Ravi Sachan
Keyword(s):  
Amniotic Fluid ◽  
South Asian ◽  
Perinatal Outcome ◽  
Lateral Position ◽  
Amniotic Fluid Index ◽  
Oral Hydration ◽  
Left Lateral Position ◽  
The Mean ◽  
A Prospective Study ◽  
Hydration Therapy

ABSTRACT Objective 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. Materials and methods A prospective study was conducted on 100 pregnant women in 3rd trimester with isolated oligohydramnios. 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. Difference 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 (pretreatment) 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. 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.

scholarly journals Effect of hydration therapy on oligohydramnios

2017 ◽  
Vol 6 (5) ◽  
pp. 1800
Author(s):  
Cicily T. J. ◽  
Sherin Sams ◽  
Anitha K. Gopal
Keyword(s):  
Perinatal Outcome ◽  
Intervention Group ◽  
Randomised Control Trial ◽  
Intravenous Route ◽  
Perinatal Complications ◽  
Fixed Amount ◽  
Medical College ◽  
Invasive Method ◽  
The Impact ◽  
Hydration Therapy

Background: Oligamnios is defined as an AFI <5cm, SDP <2cms or an AFI below the 5th centile for the gestational age and is associated with many maternal and perinatal complications. An effective, non-invasive method of increasing AFV is the hydration therapy. The objective of present study was to determine the impact of hydration therapy in patients complicated by oligamnios and to measure the maternal and perinatal outcome in oligamnios corrected by Intravenous hydration therapy.Methods: It is a randomised control trial done at Government Medical College, Kottayam, Kerala, India from Jan 2012 to May 2013. 136 singleton pregnant females with gestation age >34 weeks with AFI <5 cms were randomised into an Intervention group who receive 1 litre of ringer lactate i.v given daily for 5 days and nonintervention group who were kept under observation by serial ultrasound and antepartum fetal surveillance. All were followed-up till delivery to obtain maternal and perinatal outcomes.Results: Among the 68 who were given intervention, 61 responded and 7 were non responders. With hydration therapy, mean increase in AFI was 4 cm and minimum duration needed for improvement was one week. Hydration therapy showed significant improvement in the maternal and fetal outcomes. Intravenous route of maternal hydration has the advantage that a fixed amount of fluid can be infused at a relatively constant rate with ensured compliance.Conclusions: From the study, it was concluded that Hydration therapy is an excellent method to improve AFI in Oligohydramnios and maternal and perinatal outcome.

scholarly journals Oral versus intravenous maternal hydration in isolated third trimester oligohydramnios

2020 ◽  
Vol 8 (10) ◽  
pp. 3449
Author(s):  
Humaira Zafar ◽  
Mubashra Naz ◽  
Umber Fatima ◽  
Uzma Shahzad ◽  
Anees Fatima ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
P Value ◽  
Amniotic Fluid Index ◽  
Oral Hydration ◽  
Non Invasive ◽  
Invasive Method ◽  
Intravenous Hydration ◽  
Group A ◽  
Group B ◽  
Hydration Therapy

Background: To study the effect of oral and intravenous maternal hydration in patients with isolated oligohydramnios in terms of mean change in amniotic fluid.Methods: A total number of 38 patients included in the study which fulfill the selection criteria.  Patients were randomly divided in two groups. Amniotic fluid index (AFI) of all patients was measured before the hydration therapy according to the method of Phelan et al.  In maternal oral hydration (Group A), every patient was instructed to drink two liters of water over two hours daily for 1 week. In intravenous hydration (Group B), every woman infused two liters of 0.9% normal saline in two hour daily for 1 week. After 48 hours and 1 week of oral and intravenous hydration, the AFI was reassessed by the same observer. Patients were monitored closely for sign and symptoms of fluid overload. Data was stratified for mean difference in improvement in amniotic fluid index.Results: After oral hydration therapy AFI was 5.926±0.4593 after 48 hours and 8.286±0.6000 after 7 days in Group A. In Group B AFI was 5.784±0.4622 after 48 hours and 7.868±0.2810 after 7 days of intravenous hydration. P value after 48 hours is 0.348 and p=0.014 after 7 days means oral hydration therapy significantly increase amniotic fluid index.Conclusions: Oral maternal hydration significantly increase the amniotic fluid index in patients with isolated oligohydramnios. It is simple, safe and non-invasive method.

Oral Hydration Therapy in Oligohydramnios

2010 ◽  
Vol 65 (3) ◽  
pp. 145-146
Author(s):  
Marzieh Ghafarnejad ◽  
Mehrnaz Barzi Tehrani ◽  
Fatemeh Baradaran Anaraki ◽  
Narges Izadi Mood ◽  
Leyla Nasehi
Keyword(s):  
Oral Hydration ◽  
Hydration Therapy

scholarly journals Comparative study of the efficacy of oral and intravenous maternal hydration in the management of third trimester oligohydramnios and it’s effect on maternal and foetal outcome

2020 ◽  
Vol 9 (5) ◽  
pp. 2077
Author(s):  
Santosh Khajotia ◽  
Deepak Naraniya ◽  
Shubha Meena
Keyword(s):  
Fetal Development ◽  
Maternal Plasma ◽  
Third Trimester ◽  
Amniotic Cavity ◽  
Oral Hydration ◽  
Non Invasive ◽  
Group I ◽  
Foetal Outcome ◽  
The Impact ◽  
Hydration Therapy

Background: Amniotic fluid is derived from maternal plasma in very early pregnancy by the 10th week of pregnancy. It forms an aquatic pond inside the amniotic cavity surrounding the fetus. It helps in fetal development. Aim of this study was to determine the impact of hydration therapy in patients complicated by oligohydramnios.Methods: This was a prospective randomized clinical trial conducted on 200 women.Results: Mean AFI in Group I was 4.47±0.90 cm before hydration therapy and 7.16±1.57 cm after hydration therapy with elevation by 60.18%, similarly mean AFI in Group II was 4.52±0.83 cm before hydration therapy and 7.48±1.56 cm after hydration therapy with elevation by 65.48%. However, on comparing the two groups elevations in mean AFI was found statistically insignificant (p >0.05).Conclusions: Oral hydration is non-invasive, low costing, does not exhaust the resource, convenient to the women with minimum side effects and can be done at home. 

scholarly journals 243 Oral hydration therapy affects health, and performance in high-risk, newly received beef calves.

2018 ◽  
Vol 96 (suppl_3) ◽  
pp. 24-25
Author(s):  
D Tomczak ◽  
K Samuelson ◽  
J Jennings ◽  
J Richeson
Keyword(s):  
High Risk ◽  
Oral Hydration ◽  
Beef Calves ◽  
And Performance ◽  
Hydration Therapy

Comparison of Mean Amniotic Fluid Index in Maternal Oral Hydration Therapy with Routine Hydration in Third Trimester Oligohydramnios

2017 ◽  
Vol 11 (3) ◽  
pp. 257-260
Author(s):  
Alfreed Zafar ◽  
Sehrish Maqsood ◽  
Ammara Niaz ◽  
Shagufta Noor ◽  
Naureen Javed
Keyword(s):  
Amniotic Fluid ◽  
Third Trimester ◽  
Amniotic Fluid Index ◽  
Oral Hydration ◽  
Hydration Therapy

Oral hydration therapy with water affects health and performance of high-risk, newly received feedlot cattle

2019 ◽  
Vol 35 (1) ◽  
pp. 30-38 ◽  
Author(s):  
Dexter J. Tomczak ◽  
Kendall L. Samuelson ◽  
Jenny S. Jennings ◽  
John T. Richeson
Keyword(s):  
High Risk ◽  
Feedlot Cattle ◽  
Oral Hydration ◽  
And Performance ◽  
Hydration Therapy

Hydration therapy in oligohydraminos in Ain Shams University Maternity Hospital: Randomized Controlled Clinical Trial

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Sherif Mohammad Abdel-Hamaid ◽  
Dina Yahia Mansour ◽  
Gehad Sayed Abdel-Rahman Bakhat
Keyword(s):  
Clinical Trial ◽  
Amniotic Fluid ◽  
Maternity Hospital ◽  
Fluid Volume ◽  
Fetal Membrane ◽  
Oral Hydration ◽  
Randomized Controlled ◽  
Amniotic Fluid Volume ◽  
Study Results ◽  
Hydration Therapy

Abstract Background Amniotic fluid surrounds the fetus within first gestational weeks. acts physiologically and anatomically in a protective manner preventing fetal and umbilical cord compressive forces, besides have antibacterial features keeping the fetal temperature stable, and avoiding adhesive attachment to developing fetal membrane system. Amniotic fluid volume and constituents continuously change in a dynamic manner as the gestation progresses. Sufficient amniotic fluid volume is crucial for fetal mechanophysiological well-being adding in normal musculoskeletal wellbeing besides aminiotic fluid consituents refelect physiological integrity of fetal systems particularly the renal and gastrointestinal systems. Objective The aim of this study is to find out if there is significant increase in amniotic fluid index after acute maternal hydration in pregnant women with oligohydraminos and to evaluate therapeutic effectiveness of two different modalities of hydration therapy. Methods We conducted randomized controlled open labeled clinical trial on 300 cases with oligohydraminos admitted to Ain Shams University Maternity Hospital (ASUMH) in the period from September 2019 to March 2020. These patients were classified to three groups, Patients in group A were Oral hydration group: 100 participants while Patients in group B were Intravenous hydration group: 100 participants, patients in Group 3 No hydration group: 100 participants. Results The demographic data analysis of the current study have shown that there was no statistical significant difference between the investigated research groups as regards the demographic characteristics (age, BMI, Parity gestational age p values 0.171,0.370,0.840,0.290 consecutively). The study results also showed that oligoydramnios recurrence frequency was highest among control group, followed by intravenous group and least in oral group, the differences were statistically nonsignificant. Conclusion Hydration can be considered an effective way of decreasing the chance of oligohydraminos because maternal dehydration increases the chance of the condition. Therefore both serum and oral hydration therapies are hypothesized to be effective treatment for oligohydraminos. Previous studies have supported this hypothesis. Maternal hydration may theoretically increase amniotic fluid volume may by causing fetal diuresis.

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