دورية أكاديمية
Pregnancy outcomes in severe polyhydramnios: no increase in risk in patients needing amnioreduction for maternal pain or respiratory distress.
| العنوان: | Pregnancy outcomes in severe polyhydramnios: no increase in risk in patients needing amnioreduction for maternal pain or respiratory distress. |
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| المؤلفون: | Kleine RT; a Department of Obstetrics and Gynecology , and., Bernardes LS; a Department of Obstetrics and Gynecology , and., Carvalho MA; a Department of Obstetrics and Gynecology , and., de Carvalho MH; a Department of Obstetrics and Gynecology , and., Krebs VL; b Department of Pediatrics , University of São Paulo , São Paulo , Brazil., Francisco RP; a Department of Obstetrics and Gynecology , and. |
| المصدر: | The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2016 Dec; Vol. 29 (24), pp. 4031-4. Date of Electronic Publication: 2016 Mar 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 101136916 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-4954 (Electronic) Linking ISSN: 14764954 NLM ISO Abbreviation: J Matern Fetal Neonatal Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Boca Raton : Parthenon Pub. Group, c2002- |
| مواضيع طبية MeSH: | Amniotic Fluid* , Pregnancy Outcome* , Risk*, Drainage/*methods , Polyhydramnios/*therapy, Abdominal Pain/etiology ; Dyspnea/etiology ; Female ; Gestational Age ; Humans ; Pregnancy ; Retrospective Studies ; Statistics, Nonparametric ; Ultrasonography, Interventional ; Ultrasonography, Prenatal |
| مستخلص: | Introduction: Polyhydramnios is a common complication of fetal malformations and has been described to have high risk of pregnancy complications such as prematurity and placental abruption. In a subgroup of women severe polyhydramnios may lead to maternal dyspnea or untreatable pain, and amnioreduction is the procedure indicated to relieve those symptoms. There is a lack of information concerning the increase in the risk for the pregnancy when the procedure is indicated. Therefore, this study sought to evaluate the risk of complications in pregnancies with severe polyhydramnios that needed amnioreduction in relation to the basal risk for the pregnancy of having polyhydramnios without the need for the procedure. Materials and Methods: Patients with singleton pregnancies and severe polyhydramnios followed in our fetal medicine center were evaluated retrospectively. Pregnancy complications (prematurity rate, fetal death, premature rupture of membranes, placental abruption and chorioamnionitis) were studied in the group of patients needing the procedure and their risk was compared to the risk of having a pregnancy with severe polyhydramnios but with no need for the procedure. Results: One hundred and thirty-five patients were evaluated. Forty-four patients (32.6%) needed amnioreduction. There was no increase in the risk of having complications when the procedure was needed OR = 1.4 (CI 0.46-1.26). Conclusion: Amnioreduction performed to relieve maternal symptoms did not statistically increase the risk of pregnancy complications with severe polyhydramnios in single pregnancies. |
| فهرسة مساهمة: | Keywords: Amniodrainage; amnioreduction; fetal malformation; polyhydramnios; pregnancy complication; pregnancy outcome; premature labor |
| تواريخ الأحداث: | Date Created: 20160308 Date Completed: 20170629 Latest Revision: 20170629 |
| رمز التحديث: | 20240628 |
| DOI: | 10.3109/14767058.2016.1153060 |
| PMID: | 26948899 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1476-4954 |
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| DOI: | 10.3109/14767058.2016.1153060 |