Renal oligo- and anhydramnios: cause, course and outcome--a single-center study.
Arch Gynecol Obstet
; 292(2): 327-36, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-25676656
ABSTRACT
PURPOSE:
To evaluate the outcome of patients with renal oligohydramnios and explore the impact of patient variables on outcome and prognosis.METHODS:
A retrospective single-center study was conducted analyzing 104 pregnancies complicated by oligohydramnios of renal origin from 2001 to 2011. Statistical analysis was performed to assess the influence of pre- and postnatal data on pregnancy outcome, morbidity and mortality.RESULTS:
Prenatal renal diagnoses were as follows hydronephrosis/megaureter n = 21 (20.2 %), aberrance in renal form or location n = 7 (6.7 %), cystic renal disease n = 28 (26.9 %), renal dysplasia n = 24 (23.1 %), renal agenesis n = 42 (30.4 %), posterior urethral valves n = 11 (10.6 %). Hydronephrosis/megaureter and late onset of oligohydramnios were prognostic factors for fetal survival, whereas renal agenesis and associated anomalies had a negative impact on pregnancy outcome. Prenatal interventions did not improve prognosis.CONCLUSIONS:
Pregnancies complicated by renal oligohydramnios still have a poor outcome. Careful weighing of prognostic factors is necessary to decide about further therapeutic measures.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Diagnóstico Pré-Natal
/
Oligo-Hidrâmnio
/
Ultrassonografia Pré-Natal
/
Hidronefrose
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Pregnancy
Idioma:
En
Revista:
Arch Gynecol Obstet
Assunto da revista:
GINECOLOGIA
/
OBSTETRICIA
Ano de publicação:
2015
Tipo de documento:
Article