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العنوان
Hydration therapy in oligohydraminos in Ain Shams University Maternity Hospital :
المؤلف
Bakhat, Gehad Sayed Abdel-Rahman.
هيئة الاعداد
باحث / جهاد سيد عبد الرحمن
مشرف / شريف محمد عبد الحميد
مشرف / دينا يحيى منصور
تاريخ النشر
2020.
عدد الصفحات
142 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2020
مكان الإجازة
جامعة عين شمس - كلية الطب - أمراض النساء والتوليد
الفهرس
Only 14 pages are availabe for public view

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Abstract

Amniotic fluid gradually surrounds the developing fetus and acts physiologically and anatomically in a protective manner preventing fetal and umbilical cordcompressive forces, besides having 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 musculoskeletal normal development and physiological systems maturity and well-being such as pulmonary development besides amniotic fluid constituents reflect physiological integrity of fetal systems particularly the renal and gastrointestinal systems.
Aberrations in amniotic fluid volume (AFV), both low (oligohydramnios) and high (polyhydramnios), are associated with multiple adverse pregnancy outcomes.
Oligohydramnios clinically defined as reduced amniotic fluid volume assessed by sonographic features such as AFI below 5 cm and an AFI under the 5th centile for the corresponding gestational age. Oligohydramnios affects around 8.2% of antepartum pregnancies, and present in about 37.8% of laboring cases, and have been correlated to statistically significantly raised perinatal morbidity and mortality issues
The aim of this study is to find out if there is significant increase in amniotic fluid index after maternal hydration in pregnant women with oligohydraminos.
AFI after hydration therapy was significantly lowest among control group than among oral and intravenous groups with no significant difference between oral and intravenous groups
Complication of oligohydraminos such as lung hypoplasia and skeletal deformities were significantly highest among control group than among oral and intravenous groups.
Cesarean section frequency was highest among control group followed by intravenous group and least in oral group .
Fluid intake particularly by oral route as a natural passage for rehydration appears to be a promising management line for cases of oligohydramnios. However future research efforts should focus on the volume and osmolarity of fluid intake required in correlation to maternal body weight to innovatively determine the amount of fluid intake optimally required to regain the normal amniotic fluid volume. Furthermore future research efforts should verify the current research study results by being multicentric in nature with larger number of cases taking in consideration other research variables such as racial, ethnic differences besides the maternal dietary habits that could affect the body fluid distribution.