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Effect of maternal oral hydration on amniotic fluid index in women with pregnancy-induced hypertension

✍ Scribed by Bhawna Malhotra; Deepika Deka


Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
52 KB
Volume
28
Category
Article
ISSN
1341-8076

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✦ Synopsis


Abstract

Objective: To evaluate the effect of maternal oral hydration on amniotic fluid index (AFI) in women with pregnancy‐induced hypertension.

Methods: Five women with pregnancy‐induced hypertension and five normotensive gravidae at 32–37 weeks gestation with normal AFI (8–18 cm) were hydrated by oral intake of 2 L of water over 1 h. Both groups were similar in age, parity and gestation. Repeat AFI was measured in all women after 3 h. The differences between pre‐ and post‐hydration AFI in the two groups were analyzed with Student's t‐test for statistical significance.

Results: Maternal oral hydration resulted in a significant increase in AFI in both hypertensive and normotensive gravidae (1.7 cm and 3.48 cm, respectively). However, the extent of increase was significantly lower in the hypertensive group (P = 0.03).

Conclusion: Pregnancy‐induced hypertension adversely affects the increase in amniotic fluid volume with maternal hydration. This observation is of clinical relevance in the management of oligohydramnios associated with pregnancy‐induced hypertension.