Oligohydramnios Clinical Trial
Official title:
Third Trimester Fetal Renal Artery Doppler Indices in Borderline Idiopathic Isolated Oligohydramnios and Relationship Between Neonatal Outcomes
The purpose of the study is to investigate third trimester fetal renal artery doppler indices in borderline idiopathic isolated oligohydramnios and relationship between neonatal outcomes.
During a routine pregnancy examination at 34-37 weeks gestation, the fetus was evaluated
using ultrasound with the Toshiba Xario 200 3.5-megahertz probe. Fetal biometric
measurements were obtained and placental structure and the amniotic fluid amount were
evaluated in four quadrants. After detailed ultrasonography of the fetus, eligible pregnant
women were included in the study.
Borderline idiopathic isolated oligohydramnios was defined according to the four quadrants
technical with ultrasound examination and diagnosed with amniotic fluid index >5.0 and
≤8.0cm. After first ultrasound examination all patients in borderline isolated
oligohydramnios group were hydrated with one to two liters of water daily. All patients
monitored with non stress test and amniotic fluid index twice weekly until delivery after
treatment with hydration.
For evaluating renal artery blood flow, an axial image of the fetal abdomen was obtained at
the level of the fetal kidneys. Using color flow Doppler, the renal arteries were evaluated
at the level of their origin from the abdominal aorta. The Doppler gate was placed within
the lumen in a straight segment of the vessel. A minimum of three consecutive waveforms was
used to calculate the PI. The umbilical artery Doppler measurements were studied in a free
loop of cord, far from the fetus and placenta. pulsatile index and resistance index values
were recorded.
The study consisted of two groups. The first group was formed of the patients who had normal
amniotic volume and meets the inclusion criteria. In second group the investigators included
patients who diagnosed borderline idiopathic isolated oligohydramnios. After delivery the
investigators compared fetal renal artery doppler indices and neonatal outcomes between
groups.
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Observational Model: Case Control, Time Perspective: Prospective
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