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Oligohydramnios is a medical condition in pregnancy characterized by a deficiency of amniotic fluid, the fluid that surrounds the fetus in the abdomen, in the amniotic sac. The limiting case is anhydramnios , where there is a complete absence of amniotic fluid.
There is no clear first-line tocolytic agent. [6] [7] Current evidence suggests that first line treatment with β 2 agonists, calcium channel blockers, or NSAIDs to prolong pregnancy for up to 48 hours is the best course of action to allow time for glucocorticoid administration.
Oligohydramnios is the cause of Potter sequence, but there are many things that can lead to oligohydramnios. It can be caused by renal diseases such as bilateral renal agenesis (BRA), atresia of the ureter or urethra causing obstruction of the urinary tract, polycystic or multicystic kidney diseases, renal hypoplasia , amniotic rupture ...
The RANZCOG training program is a six-year structured post-graduate program which leads to certification as a Fellow of RANZCOG (FRANZCOG). FRANZCOG status is the only post-graduate qualification which leads to recognition as a specialist obstetrician & gynaecologist in Australia and New Zealand.
Oligohydramnios can sometimes be treated with bed rest, oral and intravenous hydration, antibiotics, steroids, and amnioinfusion. [citation needed] The opposite of oligohydramnios is polyhydramnios, an excess volume of amniotic fluid in the amniotic sac. Amniotic fluid embolism is a rare but very often fatal condition for both mother and child.
Twin-to-twin transfusion syndrome (TTTS), also known as feto-fetal transfusion syndrome (FFTS), twin oligohydramnios-polyhydramnios sequence (TOPS) and stuck twin syndrome, is a complication of monochorionic multiple pregnancies (the most common form of identical twin pregnancy) in which there is disproportionate blood supply between the fetuses.
A companion 501(c)(6) organization, the American Congress of Obstetricians and Gynecologists, was founded in 2008 and became operational in 2010. [2] The two organizations coexist, and member individuals automatically belong to both. [3]
Amniotic fluid levels are an important consideration when debating expectant management vs clinical intervention, as low levels, or oligohydramnios, can result in lung and limb abnormalities. [10] Additionally, labor and infection are less likely to occur when there are sufficient levels of amniotic fluid remaining in the uterus. [8]