Is borderline oligohydramnios a problem at term pregnancy? a prospective study of a tertiary hospital
Abstract
Aims: The objective of this study is to conduct a comparative analysis and ascertain the perinatal and early postnatal outcomes in term pregnant women who have a borderline amniotic fluid index (AFI) in comparison to those with a normal AFI.
Methods: This prospective study was conducted on 376 pregnant women of 37-42 weeks gestational age. Ultrasound evaluation was performed, and the AFI was calculated. Borderline and normal AFI were defined as 5.1 < AFI < 8 cm and 8.1 < AFI < 24 cm, respectively. Age, body mass index, gestational age at delivery, gravida, and parity were compared between the borderline and normal AFI groups, patient demographics, obstetric data, and information on delivery complications data were recorded. Newly born babies received a thorough physical evaluation and were followed up for two months by a neonatologist. Umbilical artery pH, birth weight, admission to neonatal intensive care unit (NICU), neonatal complications were also reported.
Results: There were 202 patients in the borderline AFI group and 174 patients in the normal AFI group. There was no statistically significant difference between groups in terms of normal delivery, operative vaginal delivery, elective cesarean delivery, or emergency cesarean delivery (p=0.088). Apgar score at 5 minutes, umbilical artery pH value, birth weight, admission to the NICU, small for gestational age, and cesarean delivery for non-reassuring fetal heart rate testing were not statistically different between the groups (p=0.139, p=0.644, p=0.790, p=0.317, and p=0.16, respectively)
Conclusion: Our study indicates that borderline oligohydramnios does not have an adverse effect on perinatal or early postnatal outcomes in term pregnancy.
References
- Khan IU, Aslam N, Anis FM, et al. Amniotic fluid classification and artificial intelligence: challenges and opportunities. Sensors (Basel). 2022;22(12). doi:10.3390/s22124570
- Fitzsimmons ED, Bajaj T. Embryology, Amniotic Fluid. StatPearls. 2023.
- Figueroa L, McClure EM, Swanson J, et al. Oligohydramnios: a prospective study of fetal, neonatal and maternal outcomes in low-middle income countries. Reprod Health. 2020;17(1):19. doi:10.1186/s12978-020-0854-y
- Sahin E, Madendag Y, Tayyar AT, et al. Perinatal outcomes in uncomplicated late preterm pregnancies with borderline oligohydramnios. J Matern Fetal Neonatal Med. 2018;31(23):3085-3088. doi:10.1080/14767058.2017.1364722
- Vahid Dastjerdi M, Ghahghaei-Nezamabadi A, Tehranian A, Mesgaran M. The effect of sildenafil on pregnancy outcomes in pregnant women with idiopathic borderline oligohydramnios: a randomized controlled trial. J Family Reprod Health. 2022;16(2):124-131. doi:10.18502/jfrh.v16i2.9482
- Gumus, II, Koktener A, Turhan NO. Perinatal outcomes of pregnancies with borderline amniotic fluid index. Arch Gynecol Obstet. 2007;276(1):17-19. doi:10.1007/s00404-006-0309-x
- Banks EH, Miller DA. Perinatal risks associated with borderline amniotic fluid index. Am J Obstet Gynecol. 1999;180(6 Pt 1):1461-1463. doi:10.1016/s0002-9378(99)70037-2
- Wood SL, Newton JM, Wang L, Lesser K. Borderline amniotic fluid index and its relation to fetal intolerance of labor: a 2-center retrospective cohort study. J Ultrasound Med. 2014;33(4):705-711. doi:10.7863/ultra.33.4.705
- Bajracharya N, Dangal G, Poudel R, et al. Comparison of perinatal outcomes between borderline and normal amniotic fluid index in term singleton pregnancies. J Nepal Health Res Counc. 2021;18(4):709-713. doi:10.33314/jnhrc.v18i4.3051
- Rathod S, Samal SK. Evaluation of maternal and perinatal outcomes of induction in borderline oligohydramnios at term. J Clin Diagn Res. 2017;11(9):QC05-QC07. doi:10.7860/JCDR/2017/26313.10612
- Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks’ gestation. J Reprod Med. 1987;32(7):540-542.
- Choi AY, Lee JY, Sohn IS, et al. Does the summer season affect the amniotic fluid volume during pregnancy? Int J Environ Res Public Health. 2021;18(18):9483. doi:10.3390/ijerph18189483
- Vennila M, Deepika S. Borderline oligohydramnios in term pregnancy and it’s relation with pregnancy outcome. Int J Reprod Contracept Obstet Gynecol. 2021;10(2):505-511.
- Petrozella LN, Dashe JS, McIntire DD, Leveno KJ. Clinical significance of borderline amniotic fluid index and oligohydramnios in preterm pregnancy. Obstet Gynecol. 2011;117(2 Pt 1):338-342. doi:10.1097/AOG.0b013e3182056766
- Lekkala S, Ramarao V, Bonela S, Devi R. Maternal and perinatal outcomes in pregnancies with borderline oligohydramnios versus uncomplicated normal amniotic fluid index. J Med Sci Clin Res. 2020;8:932-938.
- Jamal A, Kazemi M, Marsoosi V, Eslamian L. Adverse perinatal outcomes in borderline amniotic fluid index. Int J Reprod Biomed. 2016;14(11):705-708.
- Choi SR. Borderline amniotic fluid index and perinatal outcomes in the uncomplicated term pregnancy. J Matern Fetal Neonatal Med. 2016;29(3):457-460. doi:10.3109/14767058.2015.1004051
- Martinez Medel J, Campillos Maza JM, Lapresta Moros C, Villacampa Pueyo A, Tobajas Homs J. [Cervical preinduction and oligoamnios]. Ginecol Obstet Mex. 2008;76(9):499-506. Preinduccion cervical y oligoamnios.
- Luo X, Huang Y, Liang R. [Analysis of 196 cases of trial of labor with borderline oligohydramnios assessed by ultrasound]. Zhonghua Fu Chan Ke Za Zhi. 1998;33(10):585-587.
- Magann EF, Lang P, Morrison JC. Clinical significance of borderline amniotic fluid index and oligohydramnios in preterm pregnancy. Obstet Gynecol. 2011;117(6):1435. doi:10.1097/AOG. 0b013e31821d455a
- Zilberman Sharon N, Pekar-Zlotin M, Kugler N, et al. Oligohydramnios: how severe is severe? J Matern Fetal Neonatal Med. 2022;35(25):5754-5760. doi:10.1080/14767058.2021.1892068
Term gebelikte borderline oligohidramnios bir problem midir? Üçüncü basamak bir hastanenin prospektif çalışması
Abstract
Amaç: Miadında gebelerde sınırda amniyotik sıvı indeksi (ASI) olan ve ASI normal olanların perinatal ve erken postnatal sonuçları karşılaştırmak ve belirlemek.
Gereç ve Yöntem: Bu prospektif çalışma, 37-42 haftalık gestasyonel yaştaki 376 gebe üzerinde gerçekleştirildi. Ultrason değerlendirmesi ile ve ASI hesaplandı. Sınırda ve normal ASI sırasıyla 5.1 < AFI < 8 cm ve 8.1 < AFI < 24 cm olarak tanımlandı. Sınırda ve normal AFI grupları arasında yaş, vücut kitle indeksi, doğumdaki gebelik yaşı, gravida ve parite karşılaştırıldı. Hasta demografik bilgileri, obstetrik verileri ve doğum komplikasyon verileri kaydedildi. Yeni doğan bebekler kapsamlı bir fiziksel değerlendirmeden geçirildi ve bir neonatolog tarafından iki ay boyunca takip edildi. Umbilikal arter pH'ı, doğum ağırlığı, yenidoğan yoğun bakım ünitesine yatış durumuları, yenidoğan komplikasyonları da kayıt edildi.
Bulgular: Sınırda ASI grubunda 202 hasta ve normal AFI grubunda 174 hasta vardı. Gruplar arasında normal doğum, operatif vajinal doğum, elektif sezaryen doğum veya acil sezaryen doğum açısından istatistiksel olarak anlamlı fark yoktu (p=0,088). Güven verici olmayan fetal kalp hızı testi, 5. dakikada Apgar skoru, umblikal arter pH değeri, doğum ağırlığı, yenidoğan yoğun bakıma yatış, gebelik yaşına göre düşük doğum ağırlıklı bebek ve sezaryen doğum açısından gruplar arasında istatistiksel olarak fark yoktu (sırasıyla p = 0.139, p = 0.644, p = 0,790, p = 0,317 ve p = 0,16).
Sonuçlar: Çalışmamız sınırda oligohidramniosun term gebelikte perinatal veya erken postnatal sonuçlar üzerinde olumsuz bir etkisinin olmadığını göstermektedir.
Keywords
Borderline oligohidramnios term gebelikler olumsuz perinatal sonuçlar olumsuz erken postnatal sonuçlar
References
- Khan IU, Aslam N, Anis FM, et al. Amniotic fluid classification and artificial intelligence: challenges and opportunities. Sensors (Basel). 2022;22(12). doi:10.3390/s22124570
- Fitzsimmons ED, Bajaj T. Embryology, Amniotic Fluid. StatPearls. 2023.
- Figueroa L, McClure EM, Swanson J, et al. Oligohydramnios: a prospective study of fetal, neonatal and maternal outcomes in low-middle income countries. Reprod Health. 2020;17(1):19. doi:10.1186/s12978-020-0854-y
- Sahin E, Madendag Y, Tayyar AT, et al. Perinatal outcomes in uncomplicated late preterm pregnancies with borderline oligohydramnios. J Matern Fetal Neonatal Med. 2018;31(23):3085-3088. doi:10.1080/14767058.2017.1364722
- Vahid Dastjerdi M, Ghahghaei-Nezamabadi A, Tehranian A, Mesgaran M. The effect of sildenafil on pregnancy outcomes in pregnant women with idiopathic borderline oligohydramnios: a randomized controlled trial. J Family Reprod Health. 2022;16(2):124-131. doi:10.18502/jfrh.v16i2.9482
- Gumus, II, Koktener A, Turhan NO. Perinatal outcomes of pregnancies with borderline amniotic fluid index. Arch Gynecol Obstet. 2007;276(1):17-19. doi:10.1007/s00404-006-0309-x
- Banks EH, Miller DA. Perinatal risks associated with borderline amniotic fluid index. Am J Obstet Gynecol. 1999;180(6 Pt 1):1461-1463. doi:10.1016/s0002-9378(99)70037-2
- Wood SL, Newton JM, Wang L, Lesser K. Borderline amniotic fluid index and its relation to fetal intolerance of labor: a 2-center retrospective cohort study. J Ultrasound Med. 2014;33(4):705-711. doi:10.7863/ultra.33.4.705
- Bajracharya N, Dangal G, Poudel R, et al. Comparison of perinatal outcomes between borderline and normal amniotic fluid index in term singleton pregnancies. J Nepal Health Res Counc. 2021;18(4):709-713. doi:10.33314/jnhrc.v18i4.3051
- Rathod S, Samal SK. Evaluation of maternal and perinatal outcomes of induction in borderline oligohydramnios at term. J Clin Diagn Res. 2017;11(9):QC05-QC07. doi:10.7860/JCDR/2017/26313.10612
- Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks’ gestation. J Reprod Med. 1987;32(7):540-542.
- Choi AY, Lee JY, Sohn IS, et al. Does the summer season affect the amniotic fluid volume during pregnancy? Int J Environ Res Public Health. 2021;18(18):9483. doi:10.3390/ijerph18189483
- Vennila M, Deepika S. Borderline oligohydramnios in term pregnancy and it’s relation with pregnancy outcome. Int J Reprod Contracept Obstet Gynecol. 2021;10(2):505-511.
- Petrozella LN, Dashe JS, McIntire DD, Leveno KJ. Clinical significance of borderline amniotic fluid index and oligohydramnios in preterm pregnancy. Obstet Gynecol. 2011;117(2 Pt 1):338-342. doi:10.1097/AOG.0b013e3182056766
- Lekkala S, Ramarao V, Bonela S, Devi R. Maternal and perinatal outcomes in pregnancies with borderline oligohydramnios versus uncomplicated normal amniotic fluid index. J Med Sci Clin Res. 2020;8:932-938.
- Jamal A, Kazemi M, Marsoosi V, Eslamian L. Adverse perinatal outcomes in borderline amniotic fluid index. Int J Reprod Biomed. 2016;14(11):705-708.
- Choi SR. Borderline amniotic fluid index and perinatal outcomes in the uncomplicated term pregnancy. J Matern Fetal Neonatal Med. 2016;29(3):457-460. doi:10.3109/14767058.2015.1004051
- Martinez Medel J, Campillos Maza JM, Lapresta Moros C, Villacampa Pueyo A, Tobajas Homs J. [Cervical preinduction and oligoamnios]. Ginecol Obstet Mex. 2008;76(9):499-506. Preinduccion cervical y oligoamnios.
- Luo X, Huang Y, Liang R. [Analysis of 196 cases of trial of labor with borderline oligohydramnios assessed by ultrasound]. Zhonghua Fu Chan Ke Za Zhi. 1998;33(10):585-587.
- Magann EF, Lang P, Morrison JC. Clinical significance of borderline amniotic fluid index and oligohydramnios in preterm pregnancy. Obstet Gynecol. 2011;117(6):1435. doi:10.1097/AOG. 0b013e31821d455a
- Zilberman Sharon N, Pekar-Zlotin M, Kugler N, et al. Oligohydramnios: how severe is severe? J Matern Fetal Neonatal Med. 2022;35(25):5754-5760. doi:10.1080/14767058.2021.1892068
Details
| Primary Language | English |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Research Articles [en] Araştırma Makaleleri [tr] |
| Authors | |
| Publication Date | August 30, 2023 |
| Published in Issue | Year 2023 Volume: 4 Issue: 4 |
TR DİZİN ULAKBİM and International Indexes (1d)
Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]
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