Peripartum outcomes of high-risk pregnancies complicated by oligo- and polyhydramnios: A prospective longitudinal study
Aim: To determine pregnancy outcomes in high‐risk non‐anomalous singleton pregnancies with oligo‐ and polyhydramnios. Methods: In high‐risk pregnancies undergoing antenatal testing, the last amniotic fluid index (AFI) prior to delivery in pregnancies with polyhydramnios (>97.5th percentile) and...
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Magann, Everett F. Doherty, Dorota A. Lutgendorf, Monica A. Magann, Marcia I. Chauhan, Suneet P. Morrison, John C. |
| description | Aim: To determine pregnancy outcomes in high‐risk non‐anomalous singleton pregnancies with oligo‐ and polyhydramnios.
Methods: In high‐risk pregnancies undergoing antenatal testing, the last amniotic fluid index (AFI) prior to delivery in pregnancies with polyhydramnios (>97.5th percentile) and oligohydramnios ( 97.5th percentile) and 72 with oligohydramnios ( |
| doi_str_mv | 10.1111/j.1447-0756.2009.01145.x |
| format | Article |
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Methods: In high‐risk pregnancies undergoing antenatal testing, the last amniotic fluid index (AFI) prior to delivery in pregnancies with polyhydramnios (>97.5th percentile) and oligohydramnios (<2.5th percentile) was correlated with pregnancy outcomes.
Results: There were 2597 pregnancies with a normal AFI (2.5th–97.5th percentile), 73 with hydramnios (AFI > 97.5th percentile) and 72 with oligohydramnios (<2.5th percentile). Polyhydramnios and oligohydramnios adversely influenced different pregnancy outcomes. Pregnancies with polyhydramnios versus normal AFI were more likely to have: an abnormal tracing influencing delivery (29% vs 17%, odds ratio [OR] = 2.03, 95% confidence interval [CI] 1.19–3.45, P = 0.009), cesarean delivery performed due to fetal labor intolerance (21% vs 7%, OR = 3.89, 95%CI 2.10–7.18, P < 0.001), increased birthweight (P = 0.016), Apgar score <7 at 5 min (8% versus 1%, OR = 6.41, 95%CI 1.12–16.22, P = 0.001) and newborn intensive care unit admission (10% versus 5%, OR = 2.24, 95%CI 1.12–4.49, P = 0.023). Pregnancies with oligohydramnios versus normal AFI had a greater risk of labor induction (18% vs 9%, OR = 3.18, 95%CI 1.62–6.25, P = 0.001), intrauterine growth restriction (25% vs 9%, OR = 3.4, 95%CI 1.94–5.97, P < 0.001) and preterm delivery (29% vs 17%, OR = 1.97, 95%CI 1.17–3.31, P = 0.010).
Conclusions: Fetal heart rates influencing delivery, cesarean deliveries for fetal labor intolerance, low 5‐min Apgar scores, increased neonatal birthweight, and newborn intensive care unit admissions were more common with polyhydramnios. The fetuses of pregnancies complicated by oligohydramnios had a greater risk of labor induction, intrauterine growth restriction and preterm delivery.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.2009.01145.x</identifier><identifier>PMID: 20492376</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Amniotic Fluid - diagnostic imaging ; Female ; Fetal Growth Retardation - diagnostic imaging ; Heart Rate, Fetal ; Humans ; Infant, Newborn ; Infant, Small for Gestational Age ; Odds Ratio ; oligohydramnios ; Oligohydramnios - diagnostic imaging ; perinatal outcomes ; polyhydramnios ; Polyhydramnios - diagnostic imaging ; Pregnancy ; Pregnancy Outcome ; pregnancy outcomes ; Premature Birth - diagnostic imaging ; Prospective Studies ; Regression Analysis ; Ultrasonography</subject><ispartof>The journal of obstetrics and gynaecology research, 2010-04, Vol.36 (2), p.268-277</ispartof><rights>2010 The Authors. Journal compilation © 2010 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4595-60bb80081f2d9cfa5f8661427956abd1ee7f48f259f1c7b3cf061a5618e388633</citedby><cites>FETCH-LOGICAL-c4595-60bb80081f2d9cfa5f8661427956abd1ee7f48f259f1c7b3cf061a5618e388633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0756.2009.01145.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0756.2009.01145.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20492376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Magann, Everett F.</creatorcontrib><creatorcontrib>Doherty, Dorota A.</creatorcontrib><creatorcontrib>Lutgendorf, Monica A.</creatorcontrib><creatorcontrib>Magann, Marcia I.</creatorcontrib><creatorcontrib>Chauhan, Suneet P.</creatorcontrib><creatorcontrib>Morrison, John C.</creatorcontrib><title>Peripartum outcomes of high-risk pregnancies complicated by oligo- and polyhydramnios: A prospective longitudinal study</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Aim: To determine pregnancy outcomes in high‐risk non‐anomalous singleton pregnancies with oligo‐ and polyhydramnios.
Methods: In high‐risk pregnancies undergoing antenatal testing, the last amniotic fluid index (AFI) prior to delivery in pregnancies with polyhydramnios (>97.5th percentile) and oligohydramnios (<2.5th percentile) was correlated with pregnancy outcomes.
Results: There were 2597 pregnancies with a normal AFI (2.5th–97.5th percentile), 73 with hydramnios (AFI > 97.5th percentile) and 72 with oligohydramnios (<2.5th percentile). Polyhydramnios and oligohydramnios adversely influenced different pregnancy outcomes. Pregnancies with polyhydramnios versus normal AFI were more likely to have: an abnormal tracing influencing delivery (29% vs 17%, odds ratio [OR] = 2.03, 95% confidence interval [CI] 1.19–3.45, P = 0.009), cesarean delivery performed due to fetal labor intolerance (21% vs 7%, OR = 3.89, 95%CI 2.10–7.18, P < 0.001), increased birthweight (P = 0.016), Apgar score <7 at 5 min (8% versus 1%, OR = 6.41, 95%CI 1.12–16.22, P = 0.001) and newborn intensive care unit admission (10% versus 5%, OR = 2.24, 95%CI 1.12–4.49, P = 0.023). Pregnancies with oligohydramnios versus normal AFI had a greater risk of labor induction (18% vs 9%, OR = 3.18, 95%CI 1.62–6.25, P = 0.001), intrauterine growth restriction (25% vs 9%, OR = 3.4, 95%CI 1.94–5.97, P < 0.001) and preterm delivery (29% vs 17%, OR = 1.97, 95%CI 1.17–3.31, P = 0.010).
Conclusions: Fetal heart rates influencing delivery, cesarean deliveries for fetal labor intolerance, low 5‐min Apgar scores, increased neonatal birthweight, and newborn intensive care unit admissions were more common with polyhydramnios. The fetuses of pregnancies complicated by oligohydramnios had a greater risk of labor induction, intrauterine growth restriction and preterm delivery.</description><subject>Adult</subject><subject>Amniotic Fluid - diagnostic imaging</subject><subject>Female</subject><subject>Fetal Growth Retardation - diagnostic imaging</subject><subject>Heart Rate, Fetal</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Small for Gestational Age</subject><subject>Odds Ratio</subject><subject>oligohydramnios</subject><subject>Oligohydramnios - diagnostic imaging</subject><subject>perinatal outcomes</subject><subject>polyhydramnios</subject><subject>Polyhydramnios - diagnostic imaging</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>pregnancy outcomes</subject><subject>Premature Birth - diagnostic imaging</subject><subject>Prospective Studies</subject><subject>Regression Analysis</subject><subject>Ultrasonography</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtv1DAUhSNERUvhLyDvWCXYcfxCYlFVdKAatVS8lpbj2DOeJnGwk3by73GYdtZ44yOdc-69-rIMIFig9D7sClRVLIeM0KKEUBQQoYoU-xfZ2dF4mTSuUM4ho6fZ6xh3ECImEH-VnZawEiVm9Cx7_GaCG1QYpw74adS-MxF4C7Zus82Di_dgCGbTq167ZCR7aJ1Wo2lAPQPfuo3PgeobMPh23s5NUF3vfPwILlLPx8Ho0T0Y0Pp-48apcb1qQUxifpOdWNVG8_bpP89-Xn3-cfklX9-uvl5erHNdEUFyCuuaQ8iRLRuhrSKWU4qqkglCVd0gY5ituC2JsEizGmsLKVKEIm4w5xTj8-z9YW46589k4ig7F7VpW9UbP0XJMCZE8FKkJD8kdTo8BmPlEFynwiwRlAt1uZMLXLnAlQt1-Y-63Kfqu6clU92Z5lh8xpwCnw6BR9ea-b8Hy-vb1aJSPz_0XRzN_thX4V5ShhmRv29W8vquhL_uvt_INf4LZmmiAw</recordid><startdate>201004</startdate><enddate>201004</enddate><creator>Magann, Everett F.</creator><creator>Doherty, Dorota A.</creator><creator>Lutgendorf, Monica A.</creator><creator>Magann, Marcia I.</creator><creator>Chauhan, Suneet P.</creator><creator>Morrison, John C.</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201004</creationdate><title>Peripartum outcomes of high-risk pregnancies complicated by oligo- and polyhydramnios: A prospective longitudinal study</title><author>Magann, Everett F. ; Doherty, Dorota A. ; Lutgendorf, Monica A. ; Magann, Marcia I. ; Chauhan, Suneet P. ; Morrison, John C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4595-60bb80081f2d9cfa5f8661427956abd1ee7f48f259f1c7b3cf061a5618e388633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Amniotic Fluid - diagnostic imaging</topic><topic>Female</topic><topic>Fetal Growth Retardation - diagnostic imaging</topic><topic>Heart Rate, Fetal</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Small for Gestational Age</topic><topic>Odds Ratio</topic><topic>oligohydramnios</topic><topic>Oligohydramnios - diagnostic imaging</topic><topic>perinatal outcomes</topic><topic>polyhydramnios</topic><topic>Polyhydramnios - diagnostic imaging</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>pregnancy outcomes</topic><topic>Premature Birth - diagnostic imaging</topic><topic>Prospective Studies</topic><topic>Regression Analysis</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Magann, Everett F.</creatorcontrib><creatorcontrib>Doherty, Dorota A.</creatorcontrib><creatorcontrib>Lutgendorf, Monica A.</creatorcontrib><creatorcontrib>Magann, Marcia I.</creatorcontrib><creatorcontrib>Chauhan, Suneet P.</creatorcontrib><creatorcontrib>Morrison, John C.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Magann, Everett F.</au><au>Doherty, Dorota A.</au><au>Lutgendorf, Monica A.</au><au>Magann, Marcia I.</au><au>Chauhan, Suneet P.</au><au>Morrison, John C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peripartum outcomes of high-risk pregnancies complicated by oligo- and polyhydramnios: A prospective longitudinal study</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2010-04</date><risdate>2010</risdate><volume>36</volume><issue>2</issue><spage>268</spage><epage>277</epage><pages>268-277</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Aim: To determine pregnancy outcomes in high‐risk non‐anomalous singleton pregnancies with oligo‐ and polyhydramnios.
Methods: In high‐risk pregnancies undergoing antenatal testing, the last amniotic fluid index (AFI) prior to delivery in pregnancies with polyhydramnios (>97.5th percentile) and oligohydramnios (<2.5th percentile) was correlated with pregnancy outcomes.
Results: There were 2597 pregnancies with a normal AFI (2.5th–97.5th percentile), 73 with hydramnios (AFI > 97.5th percentile) and 72 with oligohydramnios (<2.5th percentile). Polyhydramnios and oligohydramnios adversely influenced different pregnancy outcomes. Pregnancies with polyhydramnios versus normal AFI were more likely to have: an abnormal tracing influencing delivery (29% vs 17%, odds ratio [OR] = 2.03, 95% confidence interval [CI] 1.19–3.45, P = 0.009), cesarean delivery performed due to fetal labor intolerance (21% vs 7%, OR = 3.89, 95%CI 2.10–7.18, P < 0.001), increased birthweight (P = 0.016), Apgar score <7 at 5 min (8% versus 1%, OR = 6.41, 95%CI 1.12–16.22, P = 0.001) and newborn intensive care unit admission (10% versus 5%, OR = 2.24, 95%CI 1.12–4.49, P = 0.023). Pregnancies with oligohydramnios versus normal AFI had a greater risk of labor induction (18% vs 9%, OR = 3.18, 95%CI 1.62–6.25, P = 0.001), intrauterine growth restriction (25% vs 9%, OR = 3.4, 95%CI 1.94–5.97, P < 0.001) and preterm delivery (29% vs 17%, OR = 1.97, 95%CI 1.17–3.31, P = 0.010).
Conclusions: Fetal heart rates influencing delivery, cesarean deliveries for fetal labor intolerance, low 5‐min Apgar scores, increased neonatal birthweight, and newborn intensive care unit admissions were more common with polyhydramnios. The fetuses of pregnancies complicated by oligohydramnios had a greater risk of labor induction, intrauterine growth restriction and preterm delivery.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>20492376</pmid><doi>10.1111/j.1447-0756.2009.01145.x</doi><tpages>10</tpages></addata></record> |
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| subjects | Adult Amniotic Fluid - diagnostic imaging Female Fetal Growth Retardation - diagnostic imaging Heart Rate, Fetal Humans Infant, Newborn Infant, Small for Gestational Age Odds Ratio oligohydramnios Oligohydramnios - diagnostic imaging perinatal outcomes polyhydramnios Polyhydramnios - diagnostic imaging Pregnancy Pregnancy Outcome pregnancy outcomes Premature Birth - diagnostic imaging Prospective Studies Regression Analysis Ultrasonography |
| title | Peripartum outcomes of high-risk pregnancies complicated by oligo- and polyhydramnios: A prospective longitudinal study |
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