We used pairwise site comparisons with Tukey-Kramer adjustment and multivariable logistic models using general estimating equations to account for the correlation of outcomes within cluster. The outcomes assessed included maternal morbidity and fetal and neonatal mortality, preterm birth and low-birthweight. Oligohydramnios was defined as measurement of an Amniotic Fluid Index less than 5 cm in at least one ultrasound in the third trimester. Using these data, we conducted a planned secondary analysis to compare pregnancy outcomes of women with to those without oligohydramnios.
LOW AMNIOTIC FLUID AT 20 WEEKS TRIAL
We included data in this report from all pregnant women in community settings in Guatemala, Pakistan, Zambia and the Democratic Republic of Congo (DRC) who received a third trimester ultrasound as part of the First Look Study, a randomized trial to assess the value of ultrasound at antenatal care. As part of a prospective trial of ultrasound at antenatal care in LMICs, we sought to evaluate the incidence of and the adverse maternal, fetal and neonatal outcomes associated with oligohydramnios. To date, the prevalence of this condition and its outcomes has not been well described in low and low-middle income countries (LMIC) where ultrasound use to diagnose this condition in pregnancy is limited. If you have any concerns about the amount of fluid around your baby, talk with your health care provider.Oligohydramnios is a condition of abnormally low amniotic fluid volume that has been associated with poor pregnancy outcomes. It's typically done during labor if the health care team detects problems with the baby's heart rate. If you have low amniotic fluid during labor, your health care provider might consider a procedure in which saline is put into your uterus via a catheter placed through the cervix. In some cases, it might be necessary to be admitted to the hospital to receive fluids through an IV. Your provider might recommend drinking more fluids - especially if you're dehydrated. If you're less than 36 weeks pregnant, your health care provider typically will review your baby's health, discuss why you might have low amniotic fluid and recommend monitoring your pregnancy with fetal ultrasounds. If you have low amniotic fluid and you're 36 to 37 weeks pregnant, the safest option might be delivering the baby.
Your baby's gestational age, your health and your baby's health will be taken into consideration too.įactors that can contribute to low amniotic fluid include: If you are diagnosed with low amniotic fluid, what happens next will depend on what's causing the fluid to be low and how severe it is. In addition, the amount of amniotic fluid reflects the baby's urine output - a measure of a baby's well-being. Amniotic fluid also keeps the umbilical cord from being squeezed between the baby and the wall of the uterus. This fluid provides a cushion that protects the baby from injury and allows room for growth, movement and development. Amniotic fluid is the clear liquid that surrounds your baby in the uterus during pregnancy.
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