Oligohydramnios: ultrasonically detected incidence and subsequent fetal outcome.

Abstract:

:Oligohydramnios is a hallmark for intrauterine growth retardation (IUGR) and has been evaluated in populations suspected of having IUGR. We chose to evaluate its incidence in a routine obstetric population. During a 16-month period, ultrasound scans were performed on 1,408 patients. Severe oligohydramnios was identified in six patients (0.43%); Two infants had congenital malformations, and four had severe IUGR. A subset of 317 patients scanned within 2 weeks of delivery was reviewed. Although none of the patients fulfilled our original criterion of oligohydramnios (absence of a pocket of amniotic fluid 1 cm or more in broadest diameter), three of six small-for-gestational age infants had a subjective decrease in amniotic fluid volume for their stated gestational age. By changing the criterion of oligohydramnios to a subjective decrease in amniotic fluid volume, the sensitivity of this ultrasonic marker was increased to 50% and the specificity to 100%. We believe that the semiquantitative assessment of amniotic fluid volume can effectively screen for IUGR and thereby delineate a population, regardless of gestational age, that is at risk for perinatal morbidity and mortality.

journal_name

Am J Obstet Gynecol

authors

Hill LM,Breckle R,Wolfgram KR,O'Brien PC

doi

10.1016/s0002-9378(16)32235-9

subject

Has Abstract

pub_date

1983-10-15 00:00:00

pages

407-10

issue

4

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(16)32235-9

journal_volume

147

pub_type

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