Effect of Maternal Intravenous Hydration in Management of Oligohydramnios and The Changes in the Fetal Doppler

Authors

Fahd Abd Elal Alomda, Department of Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
Ahmed Mohammed Saeed, Department of Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
Magdy Hamed El-Sayed Hamed, Department of Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, EgyptFollow

Document Type

Original Article

Abstract

Background: Fetal health requires amniotic fluid. It supports foetal growth. Its dampening and bacteriostatic qualities cushion trauma and infection. Oligohydramnios is linked to premature rupture of membrane (PROM), foetal congenital malformations, intrauterine growth retardation (IUGR), postmaturity, hypertension, diabetes, autoimmune illnesses, hypovolemic syndromes, and iatrogenic conditions. Maternal plasma osmolality and hydration affect amniotic fluid content. Hydration lowers maternal plasma osmolality, increasing amniotic fluid. Mother's fluid balance affects amniotic fluid. Maternal fluid intake increases AFI with oligohydramnios. Maternal hydration improves amniotic fluid content in women with oligohydramnios, according to Doppler studies, because it promotes uteroplacental perfusion.

Aim of the study: To evaluate assess the influence of intravenous hydration in pregnancies with third-trimester oligohydramnios on amniotic fluid index (AFI) and on Doppler changes of uteroplacental blood flow

Patients and methods: This was an interventional study including 50 pregnant women in their third trimester who were diagnosed with oligohydramnios by ultrasonography and who visited the outpatient clinic at El Azhar University Hospitals.

Results: Maternal age (Mean ± SD) was 30 ± 2.2836 and Gestational age (wk) (Mean ± SD) was 36 ± 0.544. Distinct differences existed among the groups based on Amniotic Fluid Volume Indices before and after the Hydration Procedure.There is no significance regarding above parameters in the study groups.

Conclusion: Intravenous maternal hydration therapy was safe and effective in terms of improvement of amniotic fluid index in pregnant females with isolated oligohydramnios in 3rd trimester. Maternal intravenous hydration was found to enhance amniotic fluid volume and amniotic fluid index in females with oligohydramnios.

Keywords

Oligohydramnios, Amniotic Fluid, Doppler Ultrasound.

Subject Area

Obstetrics and Gynecology

How to Cite This Article

Alomda, Fahd Abd Elal; Saeed, Ahmed Mohammed; and Hamed, Magdy Hamed El-Sayed (2023) "Effect of Maternal Intravenous Hydration in Management of Oligohydramnios and The Changes in the Fetal Doppler," Al-Azhar International Medical Journal: Vol. 4: Iss. 11, Article 8.
DOI: https://doi.org/10.58675/2682-339X.2044