[Amnioreduction in treatment of increased amniotic fluid volume].
BACKGROUND
Increased amniotic fluid volume may significantly increase the risk for preterm delivery. Amniodrainage is a symptomatic treatment by which excess amniotic fluid is reduced to provide fetal lung maturation. The aim of this stuldy is to estimate the efficacy and safety of this procedure, our results and give a literature review.


METHODS
Sonografic criteria were used (AFI >400 ml, or the biggest amniotic fluid pocket >150 mm) to choose patients in whom 18G needle was used to allow leaking of excessive amniotic fluid.


RESULTS
10 patients underwent 26 procedures. The procedures were performed at 28.6 th week gestation, on average and 6.25 weeks average gain or 1000 g. We had two sets of monochorionic twins with twin-to-twin transfusion syndronme (TTTS), where one child survived. One procedure was followed by premature placental abruption, and premature delivery in 28th week. The rest of procedures were uneventful.


CONCLUSIONS
In our series of 10 women, 26 procedures were performed to prolong pregnancies, enable fetal maturation and weight gain. In majority of cases amnioreduction was done without complications, so we could repeat the intervention and prolong the pregnancy. Survival of one child in two TTTS pregnancies should not be regarded unsulccessful in our conditions.
Stojić
Sinisa
S
Klinika za ginekologiju i akuserstvo, Klinicki centar Novi Sad, Novi Sad.
Novakov-Mikić
Aleksandra
A
Bogavac
Mirjana
M
Mandić
Aljosa
A
D000653:Amniotic Fluid; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D006831:Polyhydramnios / Q000628:therapy*; D011247:Pregnancy