THE EFFECT OF AMNIOTIC FLUID CHANGES IN LATE PREGNANCY ON MATERNAL AND FETUS OUTCOMES
Keywords:
Amniotic Fluid, Amniotic Fluid Volume, Oligohydramnios, Polyhydramnios
Abstract
The amniotic sac contains a protective liquid known as amniotic fluid. Two different types of amniotic fluid changes have been identified. The first is oligohydramnios, and the second is polyhydramnios. This study aimed to examine the effect of amniotic fluid changes on pregnancy outcomes and the fetus. A cross-sectional study was conducted by simple random sampling for, Four hundred fifty women from November 1st, 2021, until February28th 2022, in Duhok hospital for Obstetrics and Gynecology.
The study revealed that the greatest rates of polyhydramnios were associated with gestational hypertension (22.7%) and gestational diabetes (19.3%). The most prevalent mode of delivery in all groups was cesarean section. Hypoglycemia had the greats incidence in polyhydramnios at (11.3%). There was a statistically significant association between amniotic fluid volume and baby gender, with males being more prevalent in oligohydramnios (58.7%) and polyhydramnios (57.3%) compared to normal amniotic fluid volume.
Moreover, polyhydramnios had more effects on maternal and baby poor outcomes than oligohydramnios. Thyroid disease, diabetes mellitus, and hypertension were the most common types of chronic illnesses in polyhydramnios group compared with oligohydramnios group and normal amniotic fluid group. Apgar score, birth weight, congenital anomalies, hypoglycemia, asphyxia, and respiratory distress syndrome were statistically significant with oligohydramnios, polyhydramnios and normal amniotic fluid volum
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References
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Dashe, J. S., Pressman, E. K., & Hibbard, J. U. (2018). SMFM Consult Series #46: Evaluation and management of polyhydramnios. American Journal of Obstetrics and Gynecology, 219(4), B2–B8. https://doi.org/10.1016/j.ajog.2018.07.016.
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Dulay, A. (2020). Polyhydramnios - Gynecology and Obstetrics. [online] MSD Manual Professional Edition. Available at: https://www.msdmanuals.com/professional/gynecology-and-obstetrics/abnormalities-of-pregnancy/polyhydramnios.
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Hesson, A., &Langen, E. (2018). Outcomes in oligohydramnios: the role of etiology in predicting pulmonary morbidity/mortality. Journal of Perinatal Medicine, 46(8), 948–950. https://doi.org/10.1515/jpm-2017-0281.
Hodyl, N. A., Stark, M. J., Scheil, W., Grzeskowiak, L. E., & Clifton, V. L. (2014). Perinatal outcomes following maternal asthma and cigarette smoking during pregnancy. European Respiratory Journal, 43(3), 704–716. https://doi.org/10.1183/09031936.00054913.
Hou, L., Wang, X., Hellerstein, S., Zou, L., Ruan, Y., & Zhang, W. (2018). Delivery mode and perinatal outcomes after diagnosis of oligohydramnios at term in China. The Journal of Maternal-Fetal & Neonatal Medicine, 33(14), 2408–2414. https://doi.org/10.1080/14767058.2018.1553944.
Hughes, D. S., Magann, E. F., Whittington, J. R., Wendel, M. P., Sandlin, A. T., &Ounpraseuth, S. T. (2019). Accuracy of the Ultrasound Estimate of the Amniotic Fluid Volume (Amniotic Fluid Index and Single Deepest Pocket) to Identify Actual Low, Normal, and High Amniotic Fluid Volumes as Determined by Quantile Regression. Journal of Ultrasound in Medicine, 39(2), 373–378. https://doi.org/10.1002/jum.15116.
Ibrahim, H. and Zween, Z. (2020). Oligohydramnios and fetal outcome in term pregnancy. Zanco Journal of Medical Sciences, 24(3), pp.347–353. doi:10.15218/zjms.2020.041.
Kapoor, D. A., Taralekar, D. V., &Mehendale, S. (2018). Association of amniotic fluid index with neonatal outcomes at a tertiary level hospital in Pune, India. Undefined, 8. https://www.semanticscholar.org/paper/Association-of-amniotic-fluid-index-with-neonatal-a-Kapoor-Taralekar/8eb09a951ac5f38297d926b39a54fab6527cdf4f
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Khan, S., & Donnelly, J. (2017). Outcome of pregnancy in women diagnosed with idiopathic polyhydramnios. Australian and New Zealand Journal of Obstetrics and Gynaecology, 57(1), 57–62. https://doi.org/10.1111/ajo.12578
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Published
2022-11-15
How to Cite
SAIDO , V. A., & HASAN, J. N. (2022). THE EFFECT OF AMNIOTIC FLUID CHANGES IN LATE PREGNANCY ON MATERNAL AND FETUS OUTCOMES. Journal of Duhok University, 25(2), 210-221. https://doi.org/10.26682/sjuod.2022.25.2.20
Section
Pure and Engineering Sciences
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