Oral hydration therapy in oligohydramnios.
OBJECTIVE
Oligohydramnios is a threatening condition to fetal health, for which some treatments are available, or are under evaluation. We aimed to assess the effect of acute oral hydration on maternal amniotic fluid index (AFI).


METHODS
An randomized controlled trial was conducted on 44 pregnant women diagnosed by sonography to have oligohydramnios (2.1 < AFI < 6 cm).


RESULTS
The mean AFI before intervention was 50.8 in the intervention group and 52.1 in the control group. After intervention, the mean AFI was 67.2 and 52.5 in the intervention and control groups, respectively, (P < 0.001, t-test = 3.827). The mean urinary specific gravity (USG) change was 13.4 after oral hydration in the intervention group and 1.68 in the control group (P < 0.001, t-test = 3.954).


CONCLUSIONS
Acute oral hydration is a noninvasive, easily accessible and cheap intervention, and an effective way of increasing AFI.
Department of Gynecology and Obstetrics, Tehran University of Medical Sciences, Tehran, Iran. ghafarin2@yahoo.com
Marzieh
M
Ghafarnejad
Mehrnaz Barzi
MB
Tehrani
Fatemeh Baradaran
FB
Anaraki
Narges Izadi
NI
Mood
Leyla
L
Nasehi
D000328:Adult; D000653:Amniotic Fluid / Q000000981:diagnostic imaging; D016009:Chi-Square Distribution; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D016104:Oligohydramnios / Q000000981:diagnostic imaging / Q000628:therapy*; D018579:Patient Selection; D011247:Pregnancy; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D014463:Ultrasonography