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05:31
OP-IVM: Combining In vitro Maturation after Oocyte Retrieval with Gynecological Surgery
Published on: May 9, 2021
[Cervical preinduction and oligoamnios]
Jorge Martínez Medel1, José Manuel Campillos Maza, Carlos Lapresta Moros
1Sección de patologá obstétrica, Hospital Universitario Miguel Servet, Zaragoza, España. jmartinezme@salud.aragon.es
Ginecologia Y Obstetricia De Mexico
|September 19, 2008
Summary
Women with post-term pregnancies and oligohydramnios experienced higher rates of intrapartum bradycardia but had newborns with better Apgar scores and lower birth weights. Neonatal outcomes were generally favorable despite the condition.
Area of Science:
- Perinatal medicine
- Maternal-fetal medicine
- Obstetrics
Context:
- Oligohydramnios affects 12% of pregnancies at or beyond 41 weeks' gestation.
- The physiopathological mechanisms of oligohydramnios remain under investigation.
- Induction of labor is a common intervention for post-term pregnancies.
Purpose:
- To evaluate the perinatal outcomes of pregnancies complicated by oligohydramnios and induced labor after 41 weeks' gestation.
- To compare outcomes between women with and without oligohydramnios undergoing preinduction.
Summary:
- A retrospective cohort study analyzed 96 women (28 with oligohydramnios, 68 without) undergoing preinduction for post-term pregnancies.
- The oligohydramnios group showed significantly higher rates of intrapartum bradycardia (14.3% vs 1.5%) but also higher Apgar scores at 1 and 5 minutes.
- Newborns in the oligohydramnios group had lower fetal weights (3,298g vs 3,546g) and no significant differences in delivery mode or neonatal unit admission.
Impact:
- Oligohydramnios in post-term pregnancies is associated with increased intrapartum bradycardia but does not appear to negatively impact neonatal Apgar scores or lead to increased neonatal unit admissions.
- Findings suggest that induction of labor in post-term pregnancies with oligohydramnios can yield favorable neonatal outcomes.
- Further research is warranted to fully elucidate the implications of oligohydramnios in post-term pregnancies.
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