Short-term outcome among term singleton infants with intrapartum oligohydramnios

Leah Leibovitch, Jacob Kuint, Elkana Rosenfeld, Irit Schushan-Eisen, Alina Weissmann-Brenner, Ayala Maayan-Metzger

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)727-730
Number of pages4
JournalActa Paediatrica, International Journal of Paediatrics
Volume101
Issue number7
DOIs
StatePublished - Jul 2012
Externally publishedYes

Keywords

  • Neonatal outcome
  • Newborn
  • Oligohydramnios

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