A case of a full-term infant born after amniotic fluid infusion for severe oligohydramnios

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  • HIRABAYASHI Tomoko
    Department of Obstetrics and Gynecology, Osaka Medical and Pharmaceutical University
  • NAGAYASU Yoko
    Department of Obstetrics and Gynecology, Osaka Medical and Pharmaceutical University
  • DAIMON Atsushi
    Department of Obstetrics and Gynecology, Osaka Medical and Pharmaceutical University
  • NUNODE Misa
    Department of Obstetrics and Gynecology, Osaka Medical and Pharmaceutical University
  • Masami SAWADA
    Department of Obstetrics and Gynecology, Osaka Medical and Pharmaceutical University
  • SUGIMOTO Atsuko
    Department of Obstetrics and Gynecology, Osaka Medical and Pharmaceutical University
  • FUJITA Daisuke
    Department of Obstetrics and Gynecology, Osaka Medical and Pharmaceutical University
  • OHMICHI Masahide
    Department of Obstetrics and Gynecology, Osaka Medical and Pharmaceutical University

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  • 重度羊水過少症に対して羊水注入を行い正期産児を得た1例
  • ジュウド ヨウスイ カショウショウ ニ タイシテ ヨウスイ チュウニュウ オ オコナイ セイキ サンジ オ エタ 1レイ

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Abstract

The incidence of severe oligohydramnios in the second trimester is reported to be 0.5-5.5%. We report a case of a full-term infant born after amniotic fluid infusion for severe oligohydramnios. A 28-yearold woman underwent a previous prenatal checkup at another clinic. At 23 weeks and one day of pregnancy, she visited the clinic complaining of decreased fetal movement and was diagnosed with severe oligohydramnios. After informed consent, we performed an amniotic fluid infusion and umbilical cord blood flow resistance showed normalization. After that, the volume increase in amniotic fluid was subsequently maintained. At 25 weeks and zero days of pregnancy, fetal ascites appeared. Moreover, a fetal abdominal mass appeared at 26 weeks and two days of pregnancy. Due to the infant being in the breech position, an elective caesarean section was performed at 37 weeks and zero days gestation. The baby was born weighing 2257 g. Emergency laparotomy was performed on the same day and the baby was diagnosed with meconium peritonitis. The baby was discharged on the 16th day after the operation. In this case, we observed normalization of cord blood flow resistance with artificial amniotic fluid infusion, resulting in release of cord compression, improved cord blood flow, maintenance of fetal growth and amniotic fluid volume, and successful delivery of a full-term baby. [Adv Obstet Gynecol, 75(3) : 330-335, 2023 (R5.8)]

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