The prognosis of neonatal respiratory status within threeyears after birth in chronic abruption‐oligohydramnios sequence

AimChronic abruption‐oligohydramnios sequence (CAOS), which is characterized by vaginal bleeding and oligohydramnios, adversely affects the lungs of fetuses due to bloody amniotic fluid and oligohydramnios. The criteria for termination of pregnancy remain controversial. This study aimed to examine r...

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Veröffentlicht in:The journal of obstetrics and gynaecology research 2023-11, Vol.49 (11), p.2649-2655
Hauptverfasser: Nishikawa, Shoko, Taki, Mana, Okamoto, Haruko, Kawamura, Yosuke, Chigusa, Yoshitsugu, Tomotaki, Seiichi, Mandai, Masaki, Haruta Mogami
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Sprache:eng
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Zusammenfassung:AimChronic abruption‐oligohydramnios sequence (CAOS), which is characterized by vaginal bleeding and oligohydramnios, adversely affects the lungs of fetuses due to bloody amniotic fluid and oligohydramnios. The criteria for termination of pregnancy remain controversial. This study aimed to examine respiratory function in infants within 3 years after birth and risk factors for respiratory prognosis, and to clarify the management of CAOS.MethodsThis study is a case series of patients with CAOS managed at our institution between 2010 and 2020. The clinical data of the patients and their infants within 3 years after birth were reviewed. The amniotic fluid volume was measured using the maximum vertical pocket (MVP).ResultsSix of 17 neonates (35.3%) used inhaled nitric oxide (iNO) to improve oxygenation. Women with longer periods of MVP
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.15755