Isolated oligohydramnios in term pregnancy as an indication for induction of labor
Objective. To evaluate the outcome of active induction of labor for isolated oligohydramnios in low-risk term gestation. Methods. This retrospective study analyzed the obstetric and perinatal outcome of 412 singleton term pregnancies with cephalic presentation and no maternal risk factors or fetal a...
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| Veröffentlicht in: | The journal of maternal-fetal & neonatal medicine 2007-01, Vol.20 (3), p.221-224 |
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| creator | Manzanares, S. Carrillo, M. P. González-perán, E. Puertas, A. Montoya, F. |
| description | Objective. To evaluate the outcome of active induction of labor for isolated oligohydramnios in low-risk term gestation.
Methods. This retrospective study analyzed the obstetric and perinatal outcome of 412 singleton term pregnancies with cephalic presentation and no maternal risk factors or fetal abnormalities. Two groups were compared: 206 deliveries after induced labor for isolated oligohydramnios, and 206 deliveries matched for gestational age following spontaneous labor with normal amniotic fluid index.
Results. The overall rate of cesarean deliveries and cesarean deliveries for nonreassuring fetal status, and operative vaginal delivery rates and those for nonreassuring fetal status were higher in the oligohydramnios group than in the control group. There were no differences between groups in neonatal outcome or perinatal morbidity or mortality.
Conclusion. Active induction of labor in term low risk gestations with isolated oligohydramnios translated into higher labor induction, operative vaginal delivery and cesarean section rates. This led to increased maternal risk and an increase in costs with no differences in neonatal outcome. |
| doi_str_mv | 10.1080/14767050601127391 |
| format | Article |
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Methods. This retrospective study analyzed the obstetric and perinatal outcome of 412 singleton term pregnancies with cephalic presentation and no maternal risk factors or fetal abnormalities. Two groups were compared: 206 deliveries after induced labor for isolated oligohydramnios, and 206 deliveries matched for gestational age following spontaneous labor with normal amniotic fluid index.
Results. The overall rate of cesarean deliveries and cesarean deliveries for nonreassuring fetal status, and operative vaginal delivery rates and those for nonreassuring fetal status were higher in the oligohydramnios group than in the control group. There were no differences between groups in neonatal outcome or perinatal morbidity or mortality.
Conclusion. Active induction of labor in term low risk gestations with isolated oligohydramnios translated into higher labor induction, operative vaginal delivery and cesarean section rates. This led to increased maternal risk and an increase in costs with no differences in neonatal outcome.</description><identifier>ISSN: 1476-7058</identifier><identifier>EISSN: 1476-4954</identifier><identifier>DOI: 10.1080/14767050601127391</identifier><identifier>PMID: 17437223</identifier><identifier>CODEN: JMNMAE</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Adult ; Amniotic fluid ; Case-Control Studies ; Cesarean Section ; Female ; Gestational Age ; Humans ; Labor, Induced ; oligohydramnios ; Oligohydramnios - therapy ; Pregnancy ; Pregnancy Outcome ; Retrospective Studies ; Term Birth</subject><ispartof>The journal of maternal-fetal & neonatal medicine, 2007-01, Vol.20 (3), p.221-224</ispartof><rights>2007 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2007</rights><rights>Copyright Taylor & Francis Ltd. Mar 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-8b89b47658f29699888ede276559be3cf21833d78a59f39dc2318bee51c3d12a3</citedby><cites>FETCH-LOGICAL-c431t-8b89b47658f29699888ede276559be3cf21833d78a59f39dc2318bee51c3d12a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/14767050601127391$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/14767050601127391$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,59620,60409,61194,61375</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17437223$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manzanares, S.</creatorcontrib><creatorcontrib>Carrillo, M. P.</creatorcontrib><creatorcontrib>González-perán, E.</creatorcontrib><creatorcontrib>Puertas, A.</creatorcontrib><creatorcontrib>Montoya, F.</creatorcontrib><title>Isolated oligohydramnios in term pregnancy as an indication for induction of labor</title><title>The journal of maternal-fetal & neonatal medicine</title><addtitle>J Matern Fetal Neonatal Med</addtitle><description>Objective. To evaluate the outcome of active induction of labor for isolated oligohydramnios in low-risk term gestation.
Methods. This retrospective study analyzed the obstetric and perinatal outcome of 412 singleton term pregnancies with cephalic presentation and no maternal risk factors or fetal abnormalities. Two groups were compared: 206 deliveries after induced labor for isolated oligohydramnios, and 206 deliveries matched for gestational age following spontaneous labor with normal amniotic fluid index.
Results. The overall rate of cesarean deliveries and cesarean deliveries for nonreassuring fetal status, and operative vaginal delivery rates and those for nonreassuring fetal status were higher in the oligohydramnios group than in the control group. There were no differences between groups in neonatal outcome or perinatal morbidity or mortality.
Conclusion. Active induction of labor in term low risk gestations with isolated oligohydramnios translated into higher labor induction, operative vaginal delivery and cesarean section rates. This led to increased maternal risk and an increase in costs with no differences in neonatal outcome.</description><subject>Adult</subject><subject>Amniotic fluid</subject><subject>Case-Control Studies</subject><subject>Cesarean Section</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Labor, Induced</subject><subject>oligohydramnios</subject><subject>Oligohydramnios - therapy</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Retrospective Studies</subject><subject>Term Birth</subject><issn>1476-7058</issn><issn>1476-4954</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kEtLAzEUhYMovn-AGxlcuKvmJjOdBN2I-AJBEF2HTJJpI5mkJjNI_72pLRQVXSX38J3DvQehI8BngBk-h7Ie17jCYwxAasphA-0utFHJq3Jz9c8A20F7Kb1hTKDE1TbagbqkNSF0Fz0_pOBkb3QRnJ2E6VxH2XkbUmF90ZvYFbNoJl56NS9kKqTPurZK9jb4og1xMQ7qawpt4WQT4gHaaqVL5nD17qPX25uX6_vR49Pdw_XV40iVFPoRaxhv8oIVawkfc84YM9qQLFS8MVS1BBilumay4i3lWhEKrDGmAkU1EEn30ekydxbD-2BSLzqblHFOehOGJGpMeclKmsGTH-BbGKLPuwmCgVZAMcsQLCEVQ0rRtGIWbSfjXAAWi7bFr7az53gVPDSd0WvHqt4MXC4B63NXnfwI0WnRy7kLsY25VJsE_S__4pt9aqTrp0pGs77gb_cnzBGecA</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>Manzanares, S.</creator><creator>Carrillo, M. 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P. ; González-perán, E. ; Puertas, A. ; Montoya, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-8b89b47658f29699888ede276559be3cf21833d78a59f39dc2318bee51c3d12a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Amniotic fluid</topic><topic>Case-Control Studies</topic><topic>Cesarean Section</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Labor, Induced</topic><topic>oligohydramnios</topic><topic>Oligohydramnios - therapy</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Retrospective Studies</topic><topic>Term Birth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Manzanares, S.</creatorcontrib><creatorcontrib>Carrillo, M. P.</creatorcontrib><creatorcontrib>González-perán, E.</creatorcontrib><creatorcontrib>Puertas, A.</creatorcontrib><creatorcontrib>Montoya, F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manzanares, S.</au><au>Carrillo, M. P.</au><au>González-perán, E.</au><au>Puertas, A.</au><au>Montoya, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Isolated oligohydramnios in term pregnancy as an indication for induction of labor</atitle><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle><addtitle>J Matern Fetal Neonatal Med</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>20</volume><issue>3</issue><spage>221</spage><epage>224</epage><pages>221-224</pages><issn>1476-7058</issn><eissn>1476-4954</eissn><coden>JMNMAE</coden><abstract>Objective. To evaluate the outcome of active induction of labor for isolated oligohydramnios in low-risk term gestation.
Methods. This retrospective study analyzed the obstetric and perinatal outcome of 412 singleton term pregnancies with cephalic presentation and no maternal risk factors or fetal abnormalities. Two groups were compared: 206 deliveries after induced labor for isolated oligohydramnios, and 206 deliveries matched for gestational age following spontaneous labor with normal amniotic fluid index.
Results. The overall rate of cesarean deliveries and cesarean deliveries for nonreassuring fetal status, and operative vaginal delivery rates and those for nonreassuring fetal status were higher in the oligohydramnios group than in the control group. There were no differences between groups in neonatal outcome or perinatal morbidity or mortality.
Conclusion. Active induction of labor in term low risk gestations with isolated oligohydramnios translated into higher labor induction, operative vaginal delivery and cesarean section rates. This led to increased maternal risk and an increase in costs with no differences in neonatal outcome.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>17437223</pmid><doi>10.1080/14767050601127391</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Amniotic fluid Case-Control Studies Cesarean Section Female Gestational Age Humans Labor, Induced oligohydramnios Oligohydramnios - therapy Pregnancy Pregnancy Outcome Retrospective Studies Term Birth |
| title | Isolated oligohydramnios in term pregnancy as an indication for induction of labor |
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