DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20201808

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

Santosh Khajotia, Deepak Naraniya, Shubha Meena

Abstract


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.

 


Keywords


Amniotic fluid, Hydration therapy, Non-invasive

Full Text:

PDF

References


Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Gilstap LC, Wenstrom KD, et al. Growth and Development. In: Cunningham FG, Leveno KL, Bloom SL eds. Williams Obstetrics. 23rd ed. New York, NY: McGraw-Hill; 2010:78-106.

Ross MG, Brace R. Amniotic fluid biology- basic and clinical aspects. J Maternal Fetal Med. 2001;10:2-19.

Morris RK, Meller CH, Tamblyn J, Malin GM, Riley RD, Kilby MD, et al. Association and prediction of amniotic fluid measurements for adverse pregnancy outcome: Systematic review and meta-analysis. BJOG. 2014;121:686-99.

Patient: Making Lives Better. Oligohydramnios, 2017. Available at: https://patient.info/doctor/oligohydramnios. Accessed on 24th January 2020.

Cicily TJ, Sams S, Gopal AK Effect of hydration therapy on oligohydramnios. Int J Reprod Contracept Obstet Gynecol. 2017;6:1800-5.

Ghafarnejad M, Tehrani MB, Anaraki FB, Mood NI, Nasehi L. Oral hydration therapy in oligohydramnios. J Obstet Gynecol Res. 2009;35(5):895-900.

Lorzadeh N, Kazemirad S, Lorzadeh M, Najafi S. Comparison of the effect of oral and intravenous fluid therapy on women with oligohydramnios. Res J Obstet Gynecol. 2008;1:25-9.

Nada Z. Oral and intravenous maternal hydration in third trimester idiopathic oligohydramnios: effects and duration. IOSR J Nurs Health Sci. 2015;4(5):22-5.

Patil N, Abhigna V. A randomized controlled trial to compare the efficacy of three different methods of maternal hydration for oligohydramnios. JKIMSU. 2018;7(1):47-54.