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. 2020 Sep;63(5):586-593.
doi: 10.5468/ogs.20061. Epub 2020 Jul 21.

Management of isolated oligohydramnios in Korea: a questionnaire-based study of clinical practice patterns among the members of the Korean Society of Maternal Fetal Medicine

Seung Woo Yang  1 , Yihua Jin  1 , Eun Bi Jang  1 , Hee Sun Kim  2 , In Sook Sohn  1 , Han Sung Kwon  1 , Han-Sung Hwang  1
Affiliations

Management of isolated oligohydramnios in Korea: a questionnaire-based study of clinical practice patterns among the members of the Korean Society of Maternal Fetal Medicine

Seung Woo Yang et al. Obstet Gynecol Sci. 2020 Sep.

Abstract

Objective: The aim of this survey was to investigate the recommendations and clinical practice patterns of the Korean Society of Maternal and Fetal Medicine (KSMFM) members, regarding management of isolated oligohydramnios (IO).

Methods: From December 2018 to February 2019, questionnaires were e-mailed to the KSMFM members at 257 institutes that are listed by the Korean Statistical Information Services (KOSIS) as suitable labor premises. Responses to the seven questions on the management of IO, from diagnosis to treatment, were evaluated.

Results: A total of 72 KSMFM members responded to this survey. Nearly all participants (90.1%) used the amniotic fluid index (AFI) as the primary method for estimating amniotic fluid volume. The majority of the participants (73.6%) believed that IO was a risk factor for adverse pregnancy outcomes, including abnormal fetal heart rate (73.6%), need for cesarean delivery (58.3%), intrauterine fetal demise (52.8%), and meconium aspiration syndrome (50%). Almost 70% of the participants believed that induction of labor might decrease perinatal morbidities, and that late-preterm to early-term period (36-38 gestational weeks) was a suitable timeframe for delivery, if the fetus was sufficiently grown and antenatal testing revealed reassuring results. Less than half of the participants (47.2%) believed that maternal oral or intravenous hydration was a useful intervention for IO management.

Conclusions: KSMFM members preferred labor induction at late-preterm to early-term, to decrease perinatal morbidity in cases of IO, although it was still uncertain whether labor induction improved the outcomes. Further prospective studies are needed regarding IO management.

Keywords: Clinical practice pattern; Oligohydramnios; Questionnaire.

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Conflict of interest statement

Conflict of interest

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
Comparison of Society for Maternal Fetal Medicine (SMFM; 2009) and Korean Society of Maternal Fetal Medicine (KSMFM; 2019) survey regarding the relation between perinatal outcomes and isolated oligohydramnios. NICU, neonatal intensive care unit.
Fig. 2.
Fig. 2.
Comparison of Society for Maternal Fetal Medicine (SMFM; 2009) and Korean Society of Maternal Fetal Medicine (KSMFM; 2019) survey regarding labor induction in isolated oligohydramnios.
See this image and copyright information in PMC

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