Amnioinfusion for the Management of Severe Oligohydramnios during the Second Trimester: A Retrospective Observational Study
Background: To evaluate the safety profiles and role of antepartum transabdominal amnioinfusion (TA) in detecting fetal anomalies in pregnant women with oligohydramnios during the second trimester. Methods: Pregnant women with a diagnosis of oligohydramnios at 16 0/7 to 27 0/7 weeks of gestation wer...
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| Format: | Article |
| Language: | English |
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IMR Press
2023-07-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/50/7/10.31083/j.ceog5007145 |
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| author | Wei Gu Xinrong Zhao Yi Wu Renyi Hua Li Gao Yanlin Wang |
| author_facet | Wei Gu Xinrong Zhao Yi Wu Renyi Hua Li Gao Yanlin Wang |
| author_sort | Wei Gu |
| collection | DOAJ |
| description | Background: To evaluate the safety profiles and role of antepartum transabdominal amnioinfusion (TA) in detecting fetal anomalies in pregnant women with oligohydramnios during the second trimester. Methods: Pregnant women with a diagnosis of oligohydramnios at 16 0/7 to 27 0/7 weeks of gestation were evaluated at our center between June 2014 and April 2020. Data collected included maternal and fetal clinical characteristics, ultrasonographic or magnetic resonance imaging findings, chromosomal results, and perinatal mortality. Pregnancy outcomes and procedure-related complications were then analyzed. Results: The study analyzed 106 pregnant women with severe oligohydramnios, at a mean gestational age of 22+3 weeks. Out of these, 71 women received TA while the remaining 35 did not. Only two patients (2.82%) suffered adverse events of chorioamnionitis post-TA. Nineteen additional cases of fetal anomalies were detected following TA, leading to a significantly increased detection rate (24/71 vs 43/71, p = 0.001). Among the TA group, eight pregnancies without obvious fetal pathologies were delivered alive, and all newborns were discharged in good condition. Conclusions: TA is a safe and valuable procedure for pregnant women with severe oligohydramnios in the second trimester that improved the detection rate of fetal structural anomalies. TA may lead to favorable outcomes in pregnancies without obvious fetal pathologies. |
| format | Article |
| id | doaj-art-275b0d04f0df405faa4679bb5478d1ff |
| institution | DOAJ |
| issn | 0390-6663 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-275b0d04f0df405faa4679bb5478d1ff2025-08-20T03:17:40ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-07-0150714510.31083/j.ceog5007145S0390-6663(23)02110-3Amnioinfusion for the Management of Severe Oligohydramnios during the Second Trimester: A Retrospective Observational StudyWei Gu0Xinrong Zhao1Yi Wu2Renyi Hua3Li Gao4Yanlin Wang5Department of Prenatal Diagnostic Center, the International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 200030 Shanghai, ChinaDepartment of Prenatal Diagnostic Center, the International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 200030 Shanghai, ChinaDepartment of Prenatal Diagnostic Center, the International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 200030 Shanghai, ChinaDepartment of Prenatal Diagnostic Center, the International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 200030 Shanghai, ChinaDepartment of Prenatal Diagnostic Center, the International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 200030 Shanghai, ChinaDepartment of Prenatal Diagnostic Center, the International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 200030 Shanghai, ChinaBackground: To evaluate the safety profiles and role of antepartum transabdominal amnioinfusion (TA) in detecting fetal anomalies in pregnant women with oligohydramnios during the second trimester. Methods: Pregnant women with a diagnosis of oligohydramnios at 16 0/7 to 27 0/7 weeks of gestation were evaluated at our center between June 2014 and April 2020. Data collected included maternal and fetal clinical characteristics, ultrasonographic or magnetic resonance imaging findings, chromosomal results, and perinatal mortality. Pregnancy outcomes and procedure-related complications were then analyzed. Results: The study analyzed 106 pregnant women with severe oligohydramnios, at a mean gestational age of 22+3 weeks. Out of these, 71 women received TA while the remaining 35 did not. Only two patients (2.82%) suffered adverse events of chorioamnionitis post-TA. Nineteen additional cases of fetal anomalies were detected following TA, leading to a significantly increased detection rate (24/71 vs 43/71, p = 0.001). Among the TA group, eight pregnancies without obvious fetal pathologies were delivered alive, and all newborns were discharged in good condition. Conclusions: TA is a safe and valuable procedure for pregnant women with severe oligohydramnios in the second trimester that improved the detection rate of fetal structural anomalies. TA may lead to favorable outcomes in pregnancies without obvious fetal pathologies.https://www.imrpress.com/journal/CEOG/50/7/10.31083/j.ceog5007145amnioinfusioncordocentesisoligohydramniosprenatal diagnosis |
| spellingShingle | Wei Gu Xinrong Zhao Yi Wu Renyi Hua Li Gao Yanlin Wang Amnioinfusion for the Management of Severe Oligohydramnios during the Second Trimester: A Retrospective Observational Study Clinical and Experimental Obstetrics & Gynecology amnioinfusion cordocentesis oligohydramnios prenatal diagnosis |
| title | Amnioinfusion for the Management of Severe Oligohydramnios during the Second Trimester: A Retrospective Observational Study |
| title_full | Amnioinfusion for the Management of Severe Oligohydramnios during the Second Trimester: A Retrospective Observational Study |
| title_fullStr | Amnioinfusion for the Management of Severe Oligohydramnios during the Second Trimester: A Retrospective Observational Study |
| title_full_unstemmed | Amnioinfusion for the Management of Severe Oligohydramnios during the Second Trimester: A Retrospective Observational Study |
| title_short | Amnioinfusion for the Management of Severe Oligohydramnios during the Second Trimester: A Retrospective Observational Study |
| title_sort | amnioinfusion for the management of severe oligohydramnios during the second trimester a retrospective observational study |
| topic | amnioinfusion cordocentesis oligohydramnios prenatal diagnosis |
| url | https://www.imrpress.com/journal/CEOG/50/7/10.31083/j.ceog5007145 |
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