Evaluation of Transabdominal Amnioinfusion in the Antepartum Management of Oligohydramnios Complicating Preterm Pregnancies
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چکیده
OBJECTIVES To assess the role of antepartum amnioinfusion in raising the amniotic fluid index and prolonging the pregnancy, and its effect on perinatal outcome in cases with pre term oligohydramnios. METHODS Seventeen singleton pregnancies from 24 to 34 weeks of gestation with amniotic fluid index of S5, were randomly allocated to two groups controls (nine women) and subjects (eight women). Transabdominal amnioinfusion was performed in subjects under ultrasonic guidance and repeated weekly till deliver y if oligohydramnios recurred or persisted. Comparison was made with Chi-Square and t-test. RESULTS Am nioinfu sion succeeded in five of the eight subjects. A total of eigh t successful amnioinfusions w er e performed. Th e rise in amniotic fluid index of 3.67 em was significantly higher in the subjects compar ed to controls (p<O.01). The perinatal outcome was generally poor with only five out of 17 babies surviving . There were no maternal complications. CONCLUSIONS Transabdominal amnioinfusion is a safe procedure. It significantly raises the amniotic fluid index. However perinatal outcome remains poor.
منابع مشابه
Successful Outcome following Antepartum Amnioinfusion in Pregnancy Complicated with Severe Oligohydramnios with APLA Syndrome
Objective: This case was reported to highlight an alternative form of management for patients, including amnioinfusion as one of the tools in an uncommon setting. Methods: Transabdominal amnioinfusion was done in the patient at 24 weeks for severe oligohydramnios without PPROM. At 26 weeks she was found to be APLAS. Patient was also started on enoxaparin and low dose aspirin. Results: Pregnancy...
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تاریخ انتشار 2005