1. Pregnancy Today - Oligohydramnios: When Amniotic Fluid Is Too Low oligohydramnios When Amniotic Fluid is Too Low. By Laurie Dove. Once oligohydramniosis diagnosed, decisions about the baby s delivery need to be made. http://pregnancytoday.com/reference/articles/oligohydramnios.htm

Search the Site: news lifestyle community diaries ... shop Oligohydramnios: When Amniotic Fluid is Too Low By Laurie Dove When Koni Howard was 25 and pregnant with her second child, she sensed something wasn't quite right. The Oak Ridge, Tenn., mother wasn't gaining much weight, and at 36 weeks into the pregnancy, was continuing too measure small for the baby's due date. "Unlike my first baby, [my second child] hardly ever moved," she says. "I had a feeling there might be a problem." She just didn't know what the problem might be. Despite numerous blood tests and non-stress tests, which tracked the number of movements made by the baby, Howard's obstetrician didn't find anything to cause major concern. However, at 36 weeks into the pregnancy, an ultrasound showed low amniotic fluid levels. Howard was diagnosed with oligohydramnios, a condition in which the amniotic fluid surrounding the baby is below normal levels. "I was extremely surprised," Howard says, of both the diagnosis and what happened next. She had already returned home after the ultrasound and expected to hear the results at her next appointment. "When the phone rang, I never suspected it would be my doctor," she says. "I knew it was after 5 p.m. and her offices were closed. So when she told me, 'I think we're ready to have this baby,' I knew something was up."

2. Oligohydramnios oligohydramnios. Frank H Miller, MD Faye C Laing, MD. June 8, 1994. Presentation. Absenceof the kidney may be difficult to diagnose due to severe oligohydramnios. http://brighamrad.harvard.edu/Cases/bwh/hcache/31/full.html

Oligohydramnios Frank H Miller, MD Faye C Laing, MD June 8, 1994 Presentation In this 1984 case, patient is small for dates. Imaging Findings Ultrasound Examination Ultrasound examination shows anhydramnios. Scans of the renal fossae ( arrows ) fail to demonstrate the kidneys and bladder. Diagnosis Absent amniotic fluid due to renal agenesis Discussion Profound oligohydramnios may result from fetal urinary tract anomalies that include bilateral renal agenesis, posterior urethral valves, and bilateral multicystic dysplastic kidneys. Nonrenal etiologies include intrauterine growth retardation, post-term pregnancy, fetal demise, and ruptured membranes. Due to the lack of amniotic fluid, the lungs are hypoplastic and neonates who survive delivery die of respiratory failure. Severe and prolonged oligohydramnios leads to a constellation of findings that include Potter's facies (flattened nose, recessed chin, and low-set ears) and positional abnormalities (clubbed feet, dislocated hips, and contractures). Bilateral renal agenesis is a result of absence or failure of development of the ureteric bud and occurs in approximately 1 in 4,000 births. The inability to produce urine results in severe oligohydromnios and nonvisualization of the bladder. Absence of the kidney may be difficult to diagnose due to severe oligohydramnios. A normal bladder excludes the diagnosis. Bilateral renal agenesis is incompatible with life.

3. Oligohydramnios Course oligohydramnios Sonographic Assessment Clinical Implications Target Audience Physicians uterine circulation. 10. oligohydramnios. Definition. Brace and Wolf (1989) reviewed http://www.iame.com/learning/olig/olig.html

4. Home Treatments, resources, and a personal story. http://www.oligohydramnios.com/

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5. EMedicine - Oligohydramnios : Article By Jason K Baxter, MD Multiple definitions of oligohydramnios are used because no ideal cutoff level for intervention exists been shown to increase the AFV in women with oligohydramnios. http://www.emedicine.com/radio/topic898.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Radiology Obstetrics/gynecology Oligohydramnios Last Updated: October 31, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: decreased amniotic fluid, amniotic fluid volume, AFV, amniotic fluid index, AFI AUTHOR INFORMATION Section 1 of 11 Author Information Background And Definitions Normal Physiology Pathophysiology ... Bibliography Author: Jason K Baxter, MD , Fellow in Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital Coauthor(s): Harish M Sehdev, MD , Assistant Professor, Department of Obstetrics and Gynecology, University of Pennsylvania; John W Breckenridge, MD, FACR , Clinical Assistant Professor, Department of Radiology, Division of Ultrasound, Thomas Jefferson University Hospital; Chair, Department of Radiology, Abington Memorial Hospital Jason K Baxter, MD, is a member of the following medical societies:

6. Oligohydramnios a CHORUS notecard document about oligohydramnios Disclaimer. Feedback. Search. oligohydramnios. prerenal. placental insufficiency http://chorus.rad.mcw.edu/doc/00435.html

CHORUS Collaborative Hypertext of Radiology Pregnancy / Fetus Feedback Search oligohydramnios prerenal placental insufficiency low-output cardiac failure fetal demise renal renal agenesis polycystic dz multicystic dysplastic postrenal UPJ obstruction megaureter posterior urethral valves urethral agenesis Notes: etiology often unclear > pulmonary hypoplasia "DRIP": demise, renal, IUGR, prematureure of membranes see also: Potter syndrome Cf: polyhydramnios Charles E. Kahn, Jr., MD - 2 February 1995 Last updated 26 May 2004 Medical College of Wisconsin

7. Perinate.org of the condition....... http://www.wmpi.net/car/anomaly/renal/oligohydramnios.htm

CAR: Anomalies - Renal Oligohydramnios Search for... Abdominal Cardiac Chromosome CNS ... Back to the CAR introduction page If there is a major problem with either the production of liquor (amniotic fluid), or the outflow from the bladder to the amniotic cavity then there will be little or no liquor around the fetus. This has devastating consequences for the development of the fetal lungs. If there is no liquor production the normal development of the fetal lungs cannot occur. When there is little or no liquor around a fetus the quality of the ultrasound images obtained is often poor. If the bladder is seen it is most likely that the lack of liquor is due to either rupture of membranes or severe placental failure, both of which can give a similar pattern of reduced liquor volume. In some cases, it may be difficult to be certain whether there is any renal tissue present or not. The bladder is more easily seen on ultrasound than the kidneys. After 24 weeks gestation is much less likely to be due to renal anomalies, and the other causes, namely rupture of membranes and placental failure need to be considered. Although occasionally a cause of major fetal problems, these diagnoses will usually have a good outcome.

8. High-Risk Pregnancy - Amniotic Fluid Problems / Hydramnios /Oligohydramnios , causes, concerns, symptoms, and treatment for hydramnios and oligohydramnios....... http://www.southeastmissourihospital.com/health/peds/hrpregnant/amniofp.htm

High-Risk Pregnancy Amniotic Fluid Problems / Hydramnios / Oligohydramnios What is amniotic fluid? Amniotic fluid is an important part of pregnancy and fetal development. This watery fluid is inside a casing called the amniotic membrane (or sac) and fluid surrounds the fetus throughout pregnancy. Normal amounts may vary, but, generally, women carry about 500 ml of amniotic fluid. Amniotic fluid helps protect and cushion the fetus and plays an important role in the development of many of the fetal organs including the lungs, kidneys, and gastrointestinal tract. Fluid is produced by the fetal lungs and kidneys. It is taken up with fetal swallowing and sent across the placenta to the mother's circulation. Amniotic fluid problems occur in about 7 percent of pregnancies. Too much or too little amniotic fluid is associated with abnormalities in development and pregnancy complications. Differences in the amount of fluid may be the cause or the result of the problem. What is hydramnios?

9. Prophylactic Versus Therapeutic Amnioinfusion For Oligohydramnios In Labour (Coc Abstract titled Prophylactic versus therapeutic amnioinfusion for oligohydramnios in labour. http://www.cochrane.org/cochrane/revabstr/ab000176.htm

From The Cochrane Library, Issue 2, 2004 Prophylactic versus therapeutic amnioinfusion for oligohydramnios in labour (Cochrane Review) Hofmeyr GJ ABSTRACT Order full review View and/or submit comments What's new in this issue Search abstracts ... Browse by Review Group A substantive amendment to this systematic review was last made on 04 December 1995. Cochrane reviews are regularly checked and updated if necessary. Background: Amnioinfusion aims to relieve umbilical cord compression during labour by infusing a liquid into the uterine cavity. Objectives: The objective of this review was to assess the effects of prophylactic amnioinfusion for oligohydramnios compared with therapeutic amnioinfusion only if fetal heart rate decelerations or thick meconium-staining of the liquor occur. Search strategy: The Cochrane Pregnancy and Childbirth Group trials register and Cochrane Controlled Trials Register were searched. Date of last search: October 2001. Selection criteria: Randomised trials comparing prophylactic with therapeutic amnioinfusion in women with oligohydramnios but not fetal heart rate deceleration in labour.

10. Miscellaneous Prenatal Information Miscellaneous Prenatal Information. Subsections on this page oligohydramnios. Polyhydramnios. Sleeping on Your Back In Pregnancy. Hot Tubs/Thermal Stress. Retroverted Uterus /Incarcerated Uterus. Bicornuate Uterus STUDY DESIGN Five women with oligohydramnios, as defined by an amniotic fluid index 8 http://www.gentlebirth.org/archives/miscPren.html

Miscellaneous Prenatal Information Subsections on this page: Oligohydramnios Polyhydramnios Sleeping on Your Back In Pregnancy Hot Tubs/Thermal Stress ... Miscellaneous Oligohydramnios Feb. 7, 2003 (HealthScoutNews) A low level of amniotic fluid in the last trimester of a pregnancy, often thought to be sufficient cause to induce delivery, is not reason enough to do so. Johns Hopkins researchers who studied the health of more than 250 babies born at 37 weeks of gestation say they found that babies whose mothers had low levels of amniotic fluid were of normal size. And the babies had no greater risk for health problems than babies whose mothers had normal levels of amniotic fluid. "This study indicates that we don't want to intervene because of a Amniotic Fluid Index (AFI) of less than five if everything else is normal," says study author Dr. Ernest M. Graham, an assistant professor of gynecology and obstetrics at Johns Hopkins University. Graham presented the results of his study on Feb. 7 at the annual meeting of the Society for Maternal-Fetal Medicine in San Francisco. Perinatal risks associated with borderline amniotic fluid index.

11. Complications: Oligohydramnios: Too Little Amniotic Fluid The causes of oligohydramnios are not completely understood. The majorityof pregnant Amniotic Fluid oligohydramnios. What you need to http://www.marchofdimes.com/pnhec/188_1033.asp

View All Chapters Find Your Local Chapter June 2, 2004 Before You're Pregnant During Your Pregnancy Complications Caring for Your Baby ... [View All Articles] Amniotic Fluid - Oligohydramnios What you need to know: Oligohydramnios is the term for too little amniotic fluid. This condition affects about 8 percent of pregnancies. It can develop at any time in pregnancy, although it is most common in the last trimester. About 12 percent of women whose pregnancies last two weeks beyond their due date develop oligohydramnios as amniotic fluid levels naturally decline. Oligohydramnios is diagnosed with ultrasound The most important known cause of oligohydramnios early in pregnancy is birth defects in the baby (often involving the kidneys or other parts of the urinary tract ) and ruptured membranes. The effect of oligohydramnios on the baby depends on the cause, the stage of pregnancy in which the problem occurs, and how little fluid there is. In the first half of pregnancy, too little amniotic fluid is associated with birth defects of the lungs and limbs and increases the risk of miscarriage preterm birth and stillbirth When oligohydramnios occurs in the second half of pregnancy, it is associated with poor fetal growth.

12. Complications: Oligohydramnios: Too Little Amniotic Fluid Amniotic Fluid oligohydramnios. What you need to know oligohydramniosis the term for too little amniotic fluid. This condition http://www.marchofdimes.com/printableArticles/188_1033.asp

View All Chapters Find Your Local Chapter June 2, 2004 Before You're Pregnant During Your Pregnancy Complications Caring for Your Baby ... [View All Articles] Amniotic Fluid - Oligohydramnios What you need to know: Oligohydramnios is the term for too little amniotic fluid. This condition affects about 8 percent of pregnancies. It can develop at any time in pregnancy, although it is most common in the last trimester. About 12 percent of women whose pregnancies last two weeks beyond their due date develop oligohydramnios as amniotic fluid levels naturally decline. Oligohydramnios is diagnosed with ultrasound The most important known cause of oligohydramnios early in pregnancy is birth defects in the baby (often involving the kidneys or other parts of the urinary tract ) and ruptured membranes. The effect of oligohydramnios on the baby depends on the cause, the stage of pregnancy in which the problem occurs, and how little fluid there is. In the first half of pregnancy, too little amniotic fluid is associated with birth defects of the lungs and limbs and increases the risk of miscarriage preterm birth and stillbirth When oligohydramnios occurs in the second half of pregnancy, it is associated with poor fetal growth.

13. Oligohydramnios Definition and mortality rate. From the Harbor UCLA Medical Center. http://192.215.104.222/obgyn/PUBLIC/ULTRASOU/Oligo.htm

14. Oligohydramnios Contemporary OB/GYN® Archive. September 1996. oligohydramnios. Jump to Choose article section Normal amniotic fluid volume. Diagnosis and workup. Rule out ruptured membranes. Assess fetal urinary http://www.contemporaryobgyn.net/be_core/search/show_article_search.jsp?searchur

15. Oligohydramnios oligohydramnios SONOGRAPHIC ASSESSMENT AND CLINICAL IMPLICATIONS. 3.Learn the various sonographic definitions of oligohydramnios. http://www.iame.com/learning/olig/olig_content.html

This program is supported by a grant from GE Ultrasound The Institute for Advanced Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians. The Institute for Advanced Medical Education designates this continuing medical education activity for 1 hour in Category 1 of the Physician's Recognition Award of the American Medical Association. The American Registry of Diagnostic Medical Sonographers (ARDMS) and the American Registry of Radiologic Technologists (ARRT) accept AMA Category 1 credits. Faculty: Lyndon M. Hill, MD Professor of OB-GYN Medical Director, Ultrasound Magee Women's Hospital Pittsburgh, PA Course: Target Audience: Physicians, sonographers and others who perform and/or interpret OB ultrasound. Instructions: This Internet-based tutorial requires that you read through the text and related images in their entirety. In most cases you can click on an image to see an enlarged version. You may read it from your browser or from hard copy after printing it out. In addition, it is suggested that you refer to references in the bibliography to reinforce the information presented by the author. Following completion of the tutorial, click on "Take the Quiz" . After scoring a passing score of 70% or higher you will be taken to a secure payment page where you will have the opportunity to pay the CME fee and receive your certificate.

16. EMedicine - Polyhydramnios And Oligohydramnios : Article By Roland L Boyd, DO, F Polyhydramnios and oligohydramnios The amniotic fluid that bathesthe fetus is necessary for its proper growth and development. http://www.emedicine.com/ped/topic1854.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Neonatology Polyhydramnios and Oligohydramnios Last Updated: June 10, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: too much amniotic fluid, too little amniotic fluid, oligoamnios, oligamnios, fetal lung development, membrane rupture, fetal urine, fetal swallowing, Potter syndrome AUTHOR INFORMATION Section 1 of 9 Author Information Introduction Clinical Workup ... Bibliography Author: Roland L Boyd, DO, FAAP, FACOP , Neonatologist, Section of Neonatology, Neonatal Services, Ltd Coauthor(s): Brian S Carter, MD , Associate Director, Associate Professor, Department of Pediatrics, Division of Neonatology, Vanderbilt University Medical Center and Gateway Medical Center Roland L Boyd, DO, FAAP, FACOP, is a member of the following medical societies: American Academy of Osteopathy American Academy of Pediatrics , and American College of Osteopathic Pediatricians Editor(s): Ted Rosenkrantz, MD

17. Page Not Found - IVillage and possible treatments for oligohydramnios....... http://www.parentsplace.com/pregnancy/complications/qa/0,3105,514,00.html

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18. Oligohydramnios Information Diseases Database oligohydramnios Reduced liquor volume, Disease Database Information http://www.diseasesdatabase.com/sieve/item1.asp?glngUserChoice=9202

19. Maternal Hydration For Increasing Amniotic Fluid Volume In Oligohydramnios And N Abstract titled Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume. http://www.update-software.com/ccweb/cochrane/revabstr/ab000134.htm

From The Cochrane Library, Issue 2, 2004 Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume (Cochrane Review) Hofmeyr GJ, Gülmezoglu AM ABSTRACT Order full review View and/or submit comments What's new in this issue Search/browse abstracts ... Browse by Review Group A substantive amendment to this systematic review was last made on 01 September 2001. Cochrane reviews are regularly checked and updated if necessary. Background: Oligohydramnios (reduced amniotic fluid) may be responsible for malpresentation problems, umbilical cord compression, concentration of meconium in the liquor, and difficult or failed external cephalic version. Simple maternal hydration has been suggested as a way of increasing amniotic fluid volume in order to reduce some of these problems. Objectives: The objective of this review was to assess the effects of maternal hydration on amniotic fluid volume and measures of pregnancy outcome. Search strategy: The Cochrane Pregnancy and Childbirth Group trials register (27 January 2004) and the Cochrane Controlled Trials Register (The Cochrane Library, Issue 4, 2003).

20. Complications: Oligohydramnios: Too Little Amniotic Fluid The causes of oligohydramnios are not completely understood. The majority of pregnant women who develop the condition have no identifiable risk factors. If you do develop a problem, your health http://www.modimes.org/pnhec/188_1033.asp

View All Chapters Find Your Local Chapter June 2, 2004 Before You're Pregnant During Your Pregnancy Complications Caring for Your Baby ... [View All Articles] Amniotic Fluid - Oligohydramnios What you need to know: Oligohydramnios is the term for too little amniotic fluid. This condition affects about 8 percent of pregnancies. It can develop at any time in pregnancy, although it is most common in the last trimester. About 12 percent of women whose pregnancies last two weeks beyond their due date develop oligohydramnios as amniotic fluid levels naturally decline. Oligohydramnios is diagnosed with ultrasound The most important known cause of oligohydramnios early in pregnancy is birth defects in the baby (often involving the kidneys or other parts of the urinary tract ) and ruptured membranes. The effect of oligohydramnios on the baby depends on the cause, the stage of pregnancy in which the problem occurs, and how little fluid there is. In the first half of pregnancy, too little amniotic fluid is associated with birth defects of the lungs and limbs and increases the risk of miscarriage preterm birth and stillbirth When oligohydramnios occurs in the second half of pregnancy, it is associated with poor fetal growth.

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