Outcome of transabdominal amnioinfusion in pregnant patients with
oligohydramnios and intact membrane
Abstract
Abstract: Objective: The objective of this paper was to evaluate the
outcome of transabdominal amnioinfusion in pregnant patients with
oligohydramnios. Method: This is a prospective observational study
involving 80 cases of oligohydramnios treated with transabdominal
ultrasound, in the period between 2011 and 2016. The patients were
treated in two centers; however, all the procedures were performed by
the same operator. Results: The mean gestational age at the first
treatment was 24 weeks. Some patients received more than one
amnioinfusion. The mean interval between the first infusion and delivery
was 31 days. Perinatal and neonatal mortalities were 45% and 35%,
respectively. There were 5 cases of chorioamnioitis and in majority of
the cases, the final diagnosis was made after amnioinfusion. Conclusion:
The procedure has been proven to be very safe. The result showed a high
perinatal mortality which was not surprising, as these pregnancies were
complicated by a major fetal malformation. Significantly, this study
showed that the diagnosis accuracy of the concomitant congenital fetal
malformation was significantly improved. The diagnosis accuracy had a
major impact on the management of patients, especially the mode of
delivery.