An Additional Adequate Water Intake Increases the Amniotic Fluid Index in Pregnant Women with Oligohydramnios: A Systematic Review
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Issue
Vol. 17 No. 1 (2022)
Accepted
21 March 2022
Published
25 March 2022
Keywords:
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amniotic fluid index, oligohydramnios, pregnant women, water
Abstract
This systematic review aimed to answer whether an additional amount of water intake can increase the Amniotic Fluid Index (AFI) in pregnant women with oligohydramnios. Article searches were conducted and data was obtained from “SCOPUS”, “EBSCO”, “PUBMED”, “COCHRANE” and “Google Search” databases using the following keywords: “hypovolemic”, “dehydration” “pregnancy” “outcome”, “hydration”. “water intake”, “oligohydramnios”, and “amniotic fluid index”. We used MeSH headings (hydration pregnancy) for search keyword, Inclusion criteria were subjects who were pregnant women with oligohydramnios (without any pathological disorder in the mother and fetus), the outcomes include AFI of <5 cm, study design was prospective cohorts and clinical trials, consumption of plain water (non-calorie beverages) and language restriction applied for articles published in English. Out of 391 articles, eight articles that met these criteria for anaylsis. Result showed that additional amount of water intake for pregnant women with oligohydramnios without maternal/fetal abnormalities in the third trimester (28−37 weeks) can increase AFI. Oral maternal hydration gave a better effect than intravenous maternal hydration on AFI. The additional amount of water intake per day required by pregnant women with oligohydramnios to increase AFI to normal ranges from 1,500 to 2,500 ml depending on the condition of each pregnant woman. Additional water intake via oral can be a strategy for oligohydramnios therapy in pregnant women.
References
Aggarwal P, Patra S. 2018. Correction with oral hydration improves maternal and perinatal outcome in women with third trimester isolated oligohydramnios. Int J Reprod Contracept Obstet Gynecol 7(2):671−677. https://doi.org/10.18203/2320-1770.ijrcog20180192
Akter MD, Kabir N, Shah MS, Islam F, Tasnim S. 2012. Effect of maternal oral hydration therapy in oligohydramnios. Mymensingh Med J 21(4):273−728.
Ali HAEF, Ahmed SRH. 2018. The effect of oral versus intravenous fluid therapy on maternal and neonatal outcomes for women with oligohydramnios. Egypt Nurs J 15(3):228. https://doi.org/10.4103/ENJ.ENJ_43_17
Bardosono S, Morin C, Guelinckx I, Pohan R. 2017. Pregnant and breastfeeding women: Drinking for two? Ann Nutr Metab 70(Suppl.1):13−17. https://doi.org/10.1159/000462998
Borges VTM, Rososchansky J, Abbade JF, Dias A, Peraçoli JC, Rudge MCV. 2011. Effect of maternal hydration on the increase of amniotic fluid index. Braz J Med Biol Res 44:263−266. https://doi.org/10.1590/S0100-879X2011007500009
Brace RA. 2004. Amniotic Fluid Dynamics. In: Maternal Fetal Medicine, 5th ed. Philadelphia (USA): WB Saunders.
Chauhan NS, Namdeo P, Modi JN. 2018. Evidence based management of oligohydramnios. J Gynecol 3(3):2−7.
Carmody D, Doyle A, GR Firth R, Byrne MM, Daly S, Mc Auliffe F, Foley M, Coulter-Smith S, Brendan TK. 2010. Teenage pregnancy in type 1 diabetes mellitus. Pediatr Diabetes 11(2):111−115. https://doi.org/10.1111/j.1399-5448.2009.00537.x
Cunningham FG, Levenno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. 2014. Obstetri Williams Ed. 23. Jakarta (ID): EGC.
[EFSA] European Food Safety Authority. 2010. EFSA panel on dietetic products, nutrition, and allergies (NDA); Scientific opinion on dietary reference values for water. EFSA Journal 8(3):1459. https://doi.org/10.2903/j.efsa.2010.1459
Ekpenyong CE, Udokang NE, Inyang CA. 2020. Prevalence and associated risk factors of dehydration among pregnant women in Southern Nigeria. J Adv Med
Res 32(7):10−23. https://doi.org/10.9734/jammr/2020/v32i730444
El-Sharkawy, Opinder Sahota, Dileep N. Lobo. 2015. Acute and chronic effects of hydration status on health. Nutr Rev 73:97−109. https://doi.org/10.1093/nutrit/nuv038
Fait G, Pauzner D, Gull I, Lessing JB, Jaffa AJ, Wolman I. 2003. Effect of 1 week of oral hydration on the amniotic fluid index. J Reprod Med 48(3):187−190.
Figueroa L, McClure EM, Swanson J, Nathan R, Garces AL, Moore JL, Krebs NF, Hambidge KM, Bauserman M, Lokangaka A et al. 2020. Oligohydramnios: A prospective study of fetal, neonatal and maternal outcomes in low-middle income countries. Reprod Health 17(1):1−7. https://doi.org/10.1186/s12978-020-0854-y
Hofmeyr GJ, Gülmezoglu AM, Novikova N. 2012. Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume. Cochrane Database Syst Rev (1). https://doi.org/10.1002/14651858.CD000134
[IOM] Institute of Medicine. 2004. Food and Nutrition Board: Dietary Reference Intakes for Water, Potassium, Sodium, Chloride and Sulfate. Washington DC (USA): National Academies Press.
[IOM] Institute of Medicine. 2009. Weight gain during pregnancy. Washington DC (USA): National Academy of Sciences.
[ISOG] Indonesian Society of Obstetrics and Gynecology. 2013. Konsensus nasional kebutuhan asupan air bagi ibu hamil, melahirkan dan menyusui. Jakarta: Himpunan Kedokteran Feto MaternalPOGI.
Kilpatrick SJ, Safford KL, Pomeroy T, Hoedt L, Scheerer L, Laros RK. 1991. Maternal hydration increases amniotic fluid index. Obstet Gynecol 78(6):1098−1102.
Kilpatrick SJ, Safford KL. 1993. Maternal hydration increases amniotic fluid index in women with normal amniotic fluid. Obstet Gynecol 81(1):49−52.
Kominiarek MA, Peaceman AM. 2017. Gestational weight gain. Am J Obstet Gynecol 217(6):642−651. https://doi.org/10.1016/j.ajog.2017.05.040
Lanni ML, Loveless EA. 2007. Oligohydramnios at term: A case report. J Midwifery Women's Health 52(1):73−76. https://doi.org/10.1016/j.jmwh.2006.09.008
Lorzadeh N, Kazemirad S, Lorzadeh M, Najafi S. 2008. Comparison of the effect of oral and intravenous fluid therapy on women with oligohydramnios. Res J Obstet Gynecol 1(1):25−29. https://doi.org/10.3923/rjog.2008.25.29
Magann EF, Sandli AT, Ounpraseuth ST. 2011. Amniotic fluid and the clinical relevance of the sonographically estimated amniotic fluid volume. J Ultrasound Med 30(11):1573−1585. https://doi.org/10.7863/jum.2011.30.11.1573
Malik M, Irshaad S, Bokhari NA, Qazi QA, Raza A, Bashir K. 2021. Effects of oral fluids and intravenous fluids in the improvement of amniotic fluid index during third trimester of pregnancy. Pak Armed Forces Med J 71(1):179−183. https://doi.org/10.51253/pafmj.v71i1.2790
Mulyani EY, Hardinsyah H, Briawan D, Santoso BI. 2018. The impact of dehydration in the third trimesters on pregnancy outcome-infant birth weight and length. J Gizi Pangan 13(3):157−164. https://doi.org/10.25182/jgp.2018.13.3.157-164
Mulyani EY, Hardinsyah H, Briawan D, Santoso BI, Jus'at I. 2021. Effect of dehydration during pregnancy on birth weight and length in West Jakarta. J Nutr Sci 10(70):1−7. https://doi.org/10.1017/jns.2021.59
[MoH RI] Ministry of Health Republic of Indonesia. 2019. Peraturan Menteri Kesehatan Republik Indonesia nomor 28 tahun 2019 tentang angka kecukupan gizi yang dianjurkan untuk masyarakat Indonesia. Jakarta (ID): Kemenkes RI.
Patrelli TS, Gizzo S, Cosmi E, Carpano MG, Di Gangi S, Pedrazzi G, Piantelli G, Modena AB. 2012. Maternal hydration therapy improves the quantity of amniotic fluid and the pregnancy outcome in third-trimester isolated oligohydramnios: A controlled randomized institutional trial. J Ultrasound Med 31(2):239−244. https://doi.org/10.7863/jum.2012.31.2.239
Rethlefsen ML, Kirtley S, Waffenschmidt S, Ayala AP, Moher D, Page MJ, Koffel JB. 2021. PRISMA-S: An extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews. Syst Rev 10(1):1−19. https://doi.org/10.1186/s13643-020-01542-z
Rawat R, Garg R, Kaushik A, Sachan R. 2015. Effect of maternal oral hydration therapy on maternal and perinatal outcome in isolated oligohydramnios. Journal of South Asian Federation of Obstetrics and Gynaecology 7(2):64−67. https://doi.org/10.5005/jp-journals-10006-1325
Shahnazi M, Meli MS, Hamoony F, Sadrimehr F, Samani FG, Koshavar H. 2012. The effects of intravenous hydration on amniotic fluid volume and pregnancy outcomes in women with term pregnancy and oligohydramnios: A randomized clinical trial. J Caring Sci1(3):123−128. https://doi.org/10.5681/jcs.2012.018
Subudhi AW, Askew EW, Luetkemeier MJ. 2012. Dehydration. Encycl Hum Nutr 2(4):1−9. https://doi.org/10.1016/B978-0-12-375083-9.00068-4
Umber A. 2010. Intravenous versus oral maternal hydration therapy for increasing amniotic fluid volume. Ann King Edw Med Univ16(1):14−14.
Wright JM, Hoffman CS, Savitz DA. 2010. The relationship between water intake and fetal growth and preterm delivery in a prospective cohort study. BMC Pregnancy and Childbirth 10(1):1−8. https://doi.org/10.1186/1471-2393-10-48
Zafar A, Maqsood S, Niaz A, Noor S, Javed N. 2017. Comparison of mean amniotic fluid index in maternal oral hydration therapy with routine hydration in third trimester oligohydramnios. Ann Punjab Med Coll 11(3):257−260. https://doi.org/10.29054/APMC/17.435
Zafar H, Naz M, Fatima U, Shahzad U, Fatima A, Yasmeen A. 2020. Oral versus intravenous maternal hydration in isolated third trimester oligohydramnios. Int J Res Med Sci 8(10):3449−3452. https://doi.org/10.18203/2320-6012.ijrms2020421
Akter MD, Kabir N, Shah MS, Islam F, Tasnim S. 2012. Effect of maternal oral hydration therapy in oligohydramnios. Mymensingh Med J 21(4):273−728.
Ali HAEF, Ahmed SRH. 2018. The effect of oral versus intravenous fluid therapy on maternal and neonatal outcomes for women with oligohydramnios. Egypt Nurs J 15(3):228. https://doi.org/10.4103/ENJ.ENJ_43_17
Bardosono S, Morin C, Guelinckx I, Pohan R. 2017. Pregnant and breastfeeding women: Drinking for two? Ann Nutr Metab 70(Suppl.1):13−17. https://doi.org/10.1159/000462998
Borges VTM, Rososchansky J, Abbade JF, Dias A, Peraçoli JC, Rudge MCV. 2011. Effect of maternal hydration on the increase of amniotic fluid index. Braz J Med Biol Res 44:263−266. https://doi.org/10.1590/S0100-879X2011007500009
Brace RA. 2004. Amniotic Fluid Dynamics. In: Maternal Fetal Medicine, 5th ed. Philadelphia (USA): WB Saunders.
Chauhan NS, Namdeo P, Modi JN. 2018. Evidence based management of oligohydramnios. J Gynecol 3(3):2−7.
Carmody D, Doyle A, GR Firth R, Byrne MM, Daly S, Mc Auliffe F, Foley M, Coulter-Smith S, Brendan TK. 2010. Teenage pregnancy in type 1 diabetes mellitus. Pediatr Diabetes 11(2):111−115. https://doi.org/10.1111/j.1399-5448.2009.00537.x
Cunningham FG, Levenno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. 2014. Obstetri Williams Ed. 23. Jakarta (ID): EGC.
[EFSA] European Food Safety Authority. 2010. EFSA panel on dietetic products, nutrition, and allergies (NDA); Scientific opinion on dietary reference values for water. EFSA Journal 8(3):1459. https://doi.org/10.2903/j.efsa.2010.1459
Ekpenyong CE, Udokang NE, Inyang CA. 2020. Prevalence and associated risk factors of dehydration among pregnant women in Southern Nigeria. J Adv Med
Res 32(7):10−23. https://doi.org/10.9734/jammr/2020/v32i730444
El-Sharkawy, Opinder Sahota, Dileep N. Lobo. 2015. Acute and chronic effects of hydration status on health. Nutr Rev 73:97−109. https://doi.org/10.1093/nutrit/nuv038
Fait G, Pauzner D, Gull I, Lessing JB, Jaffa AJ, Wolman I. 2003. Effect of 1 week of oral hydration on the amniotic fluid index. J Reprod Med 48(3):187−190.
Figueroa L, McClure EM, Swanson J, Nathan R, Garces AL, Moore JL, Krebs NF, Hambidge KM, Bauserman M, Lokangaka A et al. 2020. Oligohydramnios: A prospective study of fetal, neonatal and maternal outcomes in low-middle income countries. Reprod Health 17(1):1−7. https://doi.org/10.1186/s12978-020-0854-y
Hofmeyr GJ, Gülmezoglu AM, Novikova N. 2012. Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume. Cochrane Database Syst Rev (1). https://doi.org/10.1002/14651858.CD000134
[IOM] Institute of Medicine. 2004. Food and Nutrition Board: Dietary Reference Intakes for Water, Potassium, Sodium, Chloride and Sulfate. Washington DC (USA): National Academies Press.
[IOM] Institute of Medicine. 2009. Weight gain during pregnancy. Washington DC (USA): National Academy of Sciences.
[ISOG] Indonesian Society of Obstetrics and Gynecology. 2013. Konsensus nasional kebutuhan asupan air bagi ibu hamil, melahirkan dan menyusui. Jakarta: Himpunan Kedokteran Feto MaternalPOGI.
Kilpatrick SJ, Safford KL, Pomeroy T, Hoedt L, Scheerer L, Laros RK. 1991. Maternal hydration increases amniotic fluid index. Obstet Gynecol 78(6):1098−1102.
Kilpatrick SJ, Safford KL. 1993. Maternal hydration increases amniotic fluid index in women with normal amniotic fluid. Obstet Gynecol 81(1):49−52.
Kominiarek MA, Peaceman AM. 2017. Gestational weight gain. Am J Obstet Gynecol 217(6):642−651. https://doi.org/10.1016/j.ajog.2017.05.040
Lanni ML, Loveless EA. 2007. Oligohydramnios at term: A case report. J Midwifery Women's Health 52(1):73−76. https://doi.org/10.1016/j.jmwh.2006.09.008
Lorzadeh N, Kazemirad S, Lorzadeh M, Najafi S. 2008. Comparison of the effect of oral and intravenous fluid therapy on women with oligohydramnios. Res J Obstet Gynecol 1(1):25−29. https://doi.org/10.3923/rjog.2008.25.29
Magann EF, Sandli AT, Ounpraseuth ST. 2011. Amniotic fluid and the clinical relevance of the sonographically estimated amniotic fluid volume. J Ultrasound Med 30(11):1573−1585. https://doi.org/10.7863/jum.2011.30.11.1573
Malik M, Irshaad S, Bokhari NA, Qazi QA, Raza A, Bashir K. 2021. Effects of oral fluids and intravenous fluids in the improvement of amniotic fluid index during third trimester of pregnancy. Pak Armed Forces Med J 71(1):179−183. https://doi.org/10.51253/pafmj.v71i1.2790
Mulyani EY, Hardinsyah H, Briawan D, Santoso BI. 2018. The impact of dehydration in the third trimesters on pregnancy outcome-infant birth weight and length. J Gizi Pangan 13(3):157−164. https://doi.org/10.25182/jgp.2018.13.3.157-164
Mulyani EY, Hardinsyah H, Briawan D, Santoso BI, Jus'at I. 2021. Effect of dehydration during pregnancy on birth weight and length in West Jakarta. J Nutr Sci 10(70):1−7. https://doi.org/10.1017/jns.2021.59
[MoH RI] Ministry of Health Republic of Indonesia. 2019. Peraturan Menteri Kesehatan Republik Indonesia nomor 28 tahun 2019 tentang angka kecukupan gizi yang dianjurkan untuk masyarakat Indonesia. Jakarta (ID): Kemenkes RI.
Patrelli TS, Gizzo S, Cosmi E, Carpano MG, Di Gangi S, Pedrazzi G, Piantelli G, Modena AB. 2012. Maternal hydration therapy improves the quantity of amniotic fluid and the pregnancy outcome in third-trimester isolated oligohydramnios: A controlled randomized institutional trial. J Ultrasound Med 31(2):239−244. https://doi.org/10.7863/jum.2012.31.2.239
Rethlefsen ML, Kirtley S, Waffenschmidt S, Ayala AP, Moher D, Page MJ, Koffel JB. 2021. PRISMA-S: An extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews. Syst Rev 10(1):1−19. https://doi.org/10.1186/s13643-020-01542-z
Rawat R, Garg R, Kaushik A, Sachan R. 2015. Effect of maternal oral hydration therapy on maternal and perinatal outcome in isolated oligohydramnios. Journal of South Asian Federation of Obstetrics and Gynaecology 7(2):64−67. https://doi.org/10.5005/jp-journals-10006-1325
Shahnazi M, Meli MS, Hamoony F, Sadrimehr F, Samani FG, Koshavar H. 2012. The effects of intravenous hydration on amniotic fluid volume and pregnancy outcomes in women with term pregnancy and oligohydramnios: A randomized clinical trial. J Caring Sci1(3):123−128. https://doi.org/10.5681/jcs.2012.018
Subudhi AW, Askew EW, Luetkemeier MJ. 2012. Dehydration. Encycl Hum Nutr 2(4):1−9. https://doi.org/10.1016/B978-0-12-375083-9.00068-4
Umber A. 2010. Intravenous versus oral maternal hydration therapy for increasing amniotic fluid volume. Ann King Edw Med Univ16(1):14−14.
Wright JM, Hoffman CS, Savitz DA. 2010. The relationship between water intake and fetal growth and preterm delivery in a prospective cohort study. BMC Pregnancy and Childbirth 10(1):1−8. https://doi.org/10.1186/1471-2393-10-48
Zafar A, Maqsood S, Niaz A, Noor S, Javed N. 2017. Comparison of mean amniotic fluid index in maternal oral hydration therapy with routine hydration in third trimester oligohydramnios. Ann Punjab Med Coll 11(3):257−260. https://doi.org/10.29054/APMC/17.435
Zafar H, Naz M, Fatima U, Shahzad U, Fatima A, Yasmeen A. 2020. Oral versus intravenous maternal hydration in isolated third trimester oligohydramnios. Int J Res Med Sci 8(10):3449−3452. https://doi.org/10.18203/2320-6012.ijrms2020421
Authors
RosemiartiT., SiregarP., HardinsyahH., PardedeS. O., SantosoB. I., RizaR. A., & TjahjonoE. (2022). An Additional Adequate Water Intake Increases the Amniotic Fluid Index in Pregnant Women with Oligohydramnios: A Systematic Review. Jurnal Gizi Dan Pangan, 17(1), 47-56. https://doi.org/10.25182/jgp.2022.17.1.47-56
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