Hydration Therapy to Improve Amniotic Fluid Index and its Association with Improved Obstetric Outcome in a Teaching Hospital of Eastern India

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dc.contributor.authorBiswas, humaen_US
dc.contributor.authorMondal, Swarnakamalen_US
dc.contributor.authorDasgupta, Shyamalen_US
dc.contributor.authorDatta, Mousumien_US
dc.contributor.authorKhatun, Nasimaen_US
dc.contributor.authorJyothi, Lakavathen_US
dc.date.accessioned2023-07-14T07:59:05Z
dc.date.available2023-07-14T07:59:05Z
dc.date.issued2022-06
dc.description.abstractIntroduction: Oligohydramnios is associated with fetal complications and a higher incidence of maternal operative morbidity. A study was planned to determine the effect of hydration therapy in the correction of oligohydramnios in pregnancy and to assess if improvement in amniotic fluid index (AFI) is associated with better obstetric outcomes. MaterialsandMethods: Analytical study with a prospective design, conducted over 1 year from July 2020 to December 2021. Pregnant women in their third trimester with singleton pregnancy and intact membranes, diagnosed to have oligohydramnios were the participants. All women undertook oral rehydration therapy. The proportion of women achieving posthydration cutoff values of AFI and single deepest vertical pocket, was recorded by abdominal ultrasound examination at 24, 48, and 72 h. Adequacy of hydration was assessed by urinary specific gravity, before and after hydration therapy. Results: There were 120 participants. The mean age of the participants was 25.6 years (standard deviation = 5.7). Majority were multigravida. About 60%–80% of women improved with hydration therapy and the proportion of women showing improvement increased with time. Women with uncorrected AFI (<5 cm) at 24 and 48 h had significantly higher odds of preterm delivery, cesarean delivery, low‑birth‑weight baby, baby having 5 min Apgar score < 6, higher likelihood of Sick Newborn Care Unit admission and neonatal death. Conclusion: Maternal hydration therapy can be of value to improve the fetomaternal outcome in pregnancies with oligohydramnios by preventing preterm termination and reducing cesarean deliveries with good neonatal outcomes. Such simple intervention can be home based and assures universal health coverageen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Calcutta National Medical College and Hospitalen_US
dc.identifier.affiliationsAssociate Professor, Department of Obstetrics and Gynaecology, RG Kar Medical Collegeen_US
dc.identifier.affiliationsDepartment of Community Medicine, Medical College Kolkata, Kolkata, West Bengal, Indiaen_US
dc.identifier.citationBiswas huma, Mondal Swarnakamal, Dasgupta1 Shyamal, Datta2 Mousumi, Khatun Nasima, Jyothi Lakavath . Hydration Therapy to Improve Amniotic Fluid Index and its Association with Improved Obstetric Outcome in a Teaching Hospital of Eastern India. Acta Medica International. 2022 Jun; 9(1): 26-30en_US
dc.identifier.issn2349-0896
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219174
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.4103/amit.amit_40_22en_US
dc.subjectAmniotic fluid indexen_US
dc.subjectApgar scoreen_US
dc.subjectoligohydramniosen_US
dc.titleHydration Therapy to Improve Amniotic Fluid Index and its Association with Improved Obstetric Outcome in a Teaching Hospital of Eastern Indiaen_US
dc.typeJournal Articleen_US
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