Management of Isolated Oligohydramnios between 34+0 and 36+6 Weeks of Gestation

Soo-young Oh

doi:10.14734/kjp.2013.24.3.229

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Oh: Management of Isolated Oligohydramnios between 34+0 and 36+6 Weeks of Gestation

Case Report

Korean J Perinatol 2013;24(4):229-236.

Published online: 19 June 2013

DOI: https://doi.org/10.14734/kjp.2013.24.3.229

Management of Isolated Oligohydramnios between 34⁺⁰ and 36⁺⁶ Weeks of Gestation

Soo-young Oh, M.D., Ph.D.

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

주관책임자 : 오수영, 135-710, 서울특별시 강남구 일원동 50 삼성서울병원 산부인과 전화 : 02)3410-3517, Fax : 02)3410-0630 E-mail : ohsymd@skku.edu

Received 11 December 2013 Revised 27 December 2013 Accepted 30 December 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The optimal management in pregnancies complicated isolated oligohydramnios between 34⁺⁰ and 36⁺⁶ weeks of gestation is not established yet. Although previous studies reported that increased risks of adverse perinatal outcomes were observed in pregnancies with oligohydramnios, it is notable that these studies include cases with maternal or fetal complications such as hypertensive disorders or fetal growth restriction. Therefore, it remains unclear that the increased adverse perinatal outcomes from oligohydramnios are caused from oligohydramnios itself or from maternal or fetal complications. Meanwhile, recent evidences demonstrated that neonates born at late preterm are also at increased risks for prematurity related complications such as respiratory distress syndrome, intraventricular hemorrhage, neonatal hypoglycemia, necrotizing enterocolitis and cerebral palsy as well compared with term neonates. With this background, this article was aimed to review recent literatures on the optimal management in pregnancies with isolated oligohydramnios between 34⁺⁰ and 36⁺⁶ weeks of gestation and to present the results from survey of obstetricians in our country on this topic.

Keywords: Isolated oligohydramnios, 34⁺⁰ and 36⁺⁶ weeks of gestation

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