oligohydramnio

8/9/2019 oligohydramnio

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OLIGOHYDRAMNIOOLIGOHYDRAMNIOS

11Dr Mona ShroffDr Mona Shroffwww.obgyntoday.info www.obgyntoday.info


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PHYSIOLOGY OF AMNIOTICPHYSIOLOGY OF AMNIOTICFLIDFLID

22


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INFLO!INFLO!

"#$$$ %&'d("#$$$ %&'d(

#.F)TAL RIN)#.F)TAL RIN)

*.LNG LI+ID*.LNG LI+ID

INTRAM)M,RANOS "-&a/nta0ord(INTRAM)M,RANOS "-&a/nta0ord( TRANSM)M,RANOS"a%nioti %/%bran/1(TRANSM)M,RANOS"a%nioti %/%bran/1(

R)CYCLING 2 3hr1R)CYCLING 2 3hr1

OTFLO!OTFLO! "#$$$ %&'d("#$$$ %&'d(

#.F)TAL#.F)TAL

S!ALLO!INGS!ALLO!ING



4/17

FNCTIONS OF AMNIOTIC FLIDFNCTIONS OF AMNIOTIC FLID

Sho4 ab1orb/r 2 -rot/t1 fro% /5t/rna& tra6%a.Sho4 ab1orb/r 2 -rot/t1 fro% /5t/rna& tra6%a. Prot/t1 ord fro% o%-r/11ion.Prot/t1 ord fro% o%-r/11ion. P/r%it1 f/ta& %o7/%/nt1 2 d/7/&o-%/nt ofP/r%it1 f/ta& %o7/%/nt1 2 d/7/&o-%/nt of

%616&o14/&/ta& 1y1t/%0 -r/7/nt1 adh/1ion1.%616&o14/&/ta& 1y1t/%0 -r/7/nt1 adh/1ion1.

Swa&&owing of AF /nhan/1 growth 8 d/7/&o-%/ntSwa&&owing of AF /nhan/1 growth 8 d/7/&o-%/ntof GIT.of GIT.

AF 7o&6%/ %aintain1 AF -r/116r/ 2 r/d6/1 &o11 ofAF 7o&6%/ %aintain1 AF -r/116r/ 2 r/d6/1 &o11 of&6ng &i96id 2 -6&%onary d/7/&o-%/nt.&6ng &i96id 2 -6&%onary d/7/&o-%/nt.

Maint/nan/ of f/ta& body t/%-/rat6r/.Maint/nan/ of f/ta& body t/%-/rat6r/. So%/ f/ta& n6trition0 wat/r 16--&y.So%/ f/ta& n6trition0 wat/r 16--&y. ,at/rio1tati -ro-/rti/1 2 d/r/a1/1 -ot/ntia& for,at/rio1tati -ro-/rti/1 2 d/r/a1/1 -ot/ntia& for

inf/tioninf/tion



5/17

55Dr Mona ShrofDr Mona Shrofwww.obgyntoday.inowww.obgyntoday.ino


6/17

D)FINITIOND)FINITION

AMNIOTIC FLID :OLM) ; < thAMNIOTIC FLID :OLM) ; < th-/r/nti&/ for g/1tationa& ag/-/r/nti&/ for g/1tationa& ag/

AMNIOTIC FLID IND)= ; )T ; * %1SINGL) :)RTICAL POC>)T ; * %1



7/17

INCID)NC)INCID)NC)

$.< 2


8/17

A)TIOLOGYA)TIOLOGY

F)TALF)TAL PROM "


9/17

DIAGNOSISDIAGNOSIS

SYMPTOMSSYMPTOMS

NO SP)CIFICNO SP)CIFICSYMPTOMSSYMPTOMS

H'O &/a4ing -'7H'O &/a4ing -'7

Po1tt/r%Po1tt/r%1'o -r//&a%-1ia1'o -r//&a%-1iaDr6g1Dr6g1L/11 f/ta& %o7/%/nt1L/11 f/ta& %o7/%/nt1

SIGNSSIGNS

t/r61 2 1%a&& fort/r61 2 1%a&& fordat/dat/F//&1 f6&& of f/t61F//&1 f6&& of f/t61Ma&-r/1/ntation1Ma&-r/1/ntation1IGRIGR



10/17

USGUSG

M)THODSM)THODS

M:P ;* %1M:P ;* %1

";# 1/7/r/(";# 1/7/r/(

AFI ;< %1AFI ;< %1

"


11/17

!M"#$%&$!'S!M"#$%&$!'S

F)TALF)TAL

AbortionAbortionPr/%at6rityPr/%at6rity

IFDIFD

D/for%iti/1 2D/for%iti/1 2CT):0ontrat6r/10a%-6tationCT):0ontrat6r/10a%-6tation

Pott/r1 1yndro%/@ -6&%onaryPott/r1 1yndro%/@ -6&%onaryhy-o-&a1iahy-o-&a1ia

Ma&-r/1/ntation1Ma&-r/1/ntation1F/ta& di1tr/11F/ta& di1tr/11

MSAF 2 MASMSAF 2 MAS

Low APGARLow APGAR

MAT)RNALMAT)RNAL

Inr/a1/d %orbidityInr/a1/d %orbidity

Pro&ong/d &abo6rBPro&ong/d &abo6rB

6t/rin/ in/rtia6t/rin/ in/rtia

Inr/a1/d o-/rati7/Inr/a1/d o-/rati7/int/r7/ntionint/r7/ntion

"%a&for%ation10"%a&for%ation10

di1tr/1(di1tr/1(



12/17

M%'%G(M('&M%'%G(M('&

D("('DS U"!'D("('DS U"!'

A)TIOLOGYA)TIOLOGYG)STATIONAL AG)G)STATIONAL AG)S):)RITYS):)RITY

F)TAL STATS 8 !)LL ,)INGF)TAL STATS 8 !)LL ,)ING



13/17

D)T)RMIN) A)TIOLOGYD)T)RMIN) A)TIOLOGY

R'O PROMR'O PROMTARG)T)D SG FOR ANOMALI)STARG)T)D SG FOR ANOMALI)SR'O IGR 0IFD wh/n 161-/t/dR'O IGR 0IFD wh/n 161-/t/dA%nio/nt/1i1 if hro%o1o%a& ano%a&i/1A%nio/nt/1i1 if hro%o1o%a& ano%a&i/1

161-/t/d 2 /ar&y 1y%%/tri IGR161-/t/d 2 /ar&y 1y%%/tri IGRT/1t1 for APLA Syndro%/ 0 if 161-/t/dT/1t1 for APLA Syndro%/ 0 if 161-/t/d

1313

Dr Mona ShroffDr Mona Shroffwww.obgyntoday.info www.obgyntoday.info


14/17

TR)ATM)NTTR)ATM)NT ADEQUATE REST decreases dehydrationADEQUATE REST decreases dehydration HYDRATION Oral/IV Hypotonic l!ids"# $it/d%HYDRATION Oral/IV Hypotonic l!ids"# $it/d% te&perory increasete&perory increase

help!l d!rin' la(o!r)priorhelp!l d!rin' la(o!r)prior

to E*V) US+to E*V) US+ SERIA$ US+ ,onitor 'ro-th)A.I)00SERIA$ US+ ,onitor 'ro-th)A.I)00 INDU*TION O. $AOUR/ $S*SINDU*TION O. $AOUR/ $S*S

$!n' &at!rity attained$!n' &at!rity attained

$ethal &alor&ation$ethal &alor&ation

.etal 1eopardy.etal 1eopardy

Se2 IU+RSe2 IU+R

Se2ere oli'oSe2ere oli'o

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15/17

AMNIOINFSIONAMNIOINFSION

INDICATIONSINDICATIONS

#.Diagno1ti#.Diagno1ti

*.Pro-hy&ati*.Pro-hy&ati 3.Th/ra-/6ti3.Th/ra-/6ti

D/r/a1/1 ordD/r/a1/1 ordo%-r/11iono%-r/11ion

Di&6t/1 %/oni6%Di&6t/1 %/oni6%

1515



16/17

TR)ATM)NT ACC. TO CAS)TR)ATM)NT ACC. TO CAS)

Dr6g ind6/d 2 OMIT DRGDr6g ind6/d 2 OMIT DRGPROM 2 INDCTIONPROM 2 INDCTION

PPROM 2 Antibioti101t/roid 2 Ind6tionPPROM 2 Antibioti101t/roid 2 Ind6tionF)TAL SRG)RYF)TAL SRG)RY

:)SICO AMNIOTIC SHNT@P::)SICO AMNIOTIC SHNT@P:

La1/r -hotooag6&ation for TTTSLa1/r -hotooag6&ation for TTTS

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17/17

1717Dr Mona ShrofDr Mona Shrof

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