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Management of isolated oligohydramnios in Korea: a questionnaire-based study of clinical practice patterns among the members of the Korean Society of Maternal Fetal Medicine

Obstetrics & Gynecology Science 2020년 63권 5호 p.586 ~ 593
양승우, Jin Yihua, 장은비, 김희선, 손인숙, 권한성, 황한성,
소속 상세정보
양승우 ( Yang Seung-Woo ) - Konkuk University School of Medicine Department of Obstetrics and Gynecology
 ( Jin Yihua ) - Konkuk University School of Medicine Department of Obstetrics and Gynecology
장은비 ( Jang Eun-Bi ) - Konkuk University School of Medicine Department of Obstetrics and Gynecology
김희선 ( Kim Hee-Sun ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology
손인숙 ( Sohn In-Sook ) - Konkuk University School of Medicine Department of Obstetrics and Gynecology
권한성 ( Kwon Han-Sung ) - Konkuk University School of Medicine Department of Obstetrics and Gynecology
황한성 ( Hwang Han-Sung ) - Konkuk University School of Medicine Department of Obstetrics and Gynecology

Abstract


Objective: The aim of this survey was to investigate the recommendations and clinical practice patterns of the Korean Society of Maternal and Fetal Medicine (KSMFM) members, regarding management of isolated oligohydramnios (IO).

Methods: From December 2018 to February 2019, questionnaires were e-mailed to the KSMFM members at 257 institutes that are listed by the Korean Statistical Information Services (KOSIS) as suitable labor premises. Responses to the seven questions on the management of IO, from diagnosis to treatment, were evaluated.

Results: A total of 72 KSMFM members responded to this survey. Nearly all participants (90.1%) used the amniotic fluid index (AFI) as the primary method for estimating amniotic fluid volume. The majority of the participants (73.6%) believed that IO was a risk factor for adverse pregnancy outcomes, including abnormal fetal heart rate (73.6%), need for cesarean delivery (58.3%), intrauterine fetal demise (52.8%), and meconium aspiration syndrome (50%). Almost 70% of the participants believed that induction of labor might decrease perinatal morbidities, and that late-preterm to early-term period (36-38 gestational weeks) was a suitable timeframe for delivery, if the fetus was sufficiently grown and antenatal testing revealed reassuring results. Less than half of the participants (47.2%) believed that maternal oral or intravenous hydration was a useful intervention for IO management.

Conclusions: KSMFM members preferred labor induction at late-preterm to early-term, to decrease perinatal morbidity in cases of IO, although it was still uncertain whether labor induction improved the outcomes. Further prospective studies are needed regarding IO management.

키워드

Oligohydramnios; Questionnaire; Clinical practice pattern

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