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Short‐term outcome among term singleton infants with intrapartum oligohydramnios
Author(s) -
Leibovitch Leah,
Kuint Jacob,
Rosenfeld Elkana,
SchushanEisen Irit,
WeissmannBrenner Alina,
MaayanMetzger Ayala
Publication year - 2012
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2012.02667.x
Subject(s) - oligohydramnios , medicine , amniotic fluid index , obstetrics , hydronephrosis , pediatrics , incidence (geometry) , pregnancy , gestational age , singleton , retrospective cohort study , gestation , urinary system , surgery , genetics , physics , optics , biology
Aim: To evaluate rates of early short‐term neonatal complications among term singleton newborn infants with oligohydramnios. Methods: Retrospective data were collected on 456 term infants with prenatal diagnosis of oligohydramnios and on matched controls, including information on maternal condition and on infant perinatal complications. Results: Infants in the study group were born with lower birthweight and were SGA compared with those in the control group. Rates of renal malformations were significantly higher in the study group compared with the controls (15–3.3% and 3–0.7%, respectively; p = 0.007). Among the severe oligohydramnios subgroup (Amniotic Fluid Index <2), renal anomalies were even more prevalent compared to other infants with oligohydramnios and to the controls (6–9.8%, 9–2.3% and 3–0.7%, respectively; p < 0.001). The incidence of skeletal deformities (developmental dislocation of hip and torticollis) was higher among the study group. Conclusion: Term infants with oligohydramnios that was detected near birth are associated with a greater prevalence of renal malformations (mostly mild hydronephrosis) as well as congenital torticollis and developmental dislocated hips compared with controls. Postnatal renal evaluation should be considered in infants with severe oligohydramnios.