eMedicine Specialties > Radiology > Obstetrics/Gynecology

Oligohydramnios: Multimedia

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 of Clinical Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University of Pennsylvania; Consulting Staff, Pennsylvania Hospital, University of Pennsylvania Health System; 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
Contributor Information and Disclosures

Updated: Oct 3, 2007

Multimedia

Sonogram obtained before second-trimester amnioin...
(Enlarge Image)
Media file 1: Sonogram obtained before second-trimester amnioinfusion. This fetus has bilaterally absent kidneys consistent with a diagnosis of Potter syndrome. The cystic structures in the renal fossae are most likely the adrenal glands.
[ CLOSE WINDOW ]
Sonogram obtained before second-trimester amnioin...

Sonogram obtained before second-trimester amnioinfusion. This fetus has bilaterally absent kidneys consistent with a diagnosis of Potter syndrome. The cystic structures in the renal fossae are most likely the adrenal glands.

Sonogram obtained after second-trimester amnioinf...
(Enlarge Image)
Media file 2: Sonogram obtained after second-trimester amnioinfusion. This fetus has bilaterally absent kidneys consistent with a diagnosis of Potter syndrome. The cystic structures in the renal fossae are most likely the adrenal glands.
[ CLOSE WINDOW ]
Sonogram obtained after second-trimester amnioinf...

Sonogram obtained after second-trimester amnioinfusion. This fetus has bilaterally absent kidneys consistent with a diagnosis of Potter syndrome. The cystic structures in the renal fossae are most likely the adrenal glands.

Amniotic fluid index (AFI) during a normal human ...
(Enlarge Image)
Media file 3: Amniotic fluid index (AFI) during a normal human singleton pregnancy. The solid line is the mean AFI, the lower dotted line is the 5th percentile value, and the upper dotted line is the 95th percentile value (data adapted from Moore, 1990). Image courtesy of Christopher L. Sistrom, MD.
[ CLOSE WINDOW ]
Amniotic fluid index (AFI) during a normal human ...

Amniotic fluid index (AFI) during a normal human singleton pregnancy. The solid line is the mean AFI, the lower dotted line is the 5th percentile value, and the upper dotted line is the 95th percentile value (data adapted from Moore, 1990). Image courtesy of Christopher L. Sistrom, MD.

Amniotic fluid index (AFI) measurement technique.
(Enlarge Image)
Media file 4: Amniotic fluid index (AFI) measurement technique.
[ CLOSE WINDOW ]
Amniotic fluid index (AFI) measurement technique.

Amniotic fluid index (AFI) measurement technique.

More on Oligohydramnios

References
[ CLOSE WINDOW ]

References

  1. Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36- 42 weeks'' gestation. J Reprod Med. Jul 1987;32(7):540-2. [Medline].

  2. Dasari P, Niveditta G, Raghavan S. The maximal vertical pocket and amniotic fluid index in predicting fetal distress in prolonged pregnancy. Int J Gynaecol Obstet. Feb 2007;96(2):89-93. [Medline].

  3. Fok WY, Chan LY, Lau TK. The influence of fetal position on amniotic fluid index and single deepest pocket. Ultrasound Obstet Gynecol. Aug 2006;28(2):162-5. [Medline].

  4. Johnson JM, Chauhan SP, Ennen CS, Niederhauser A, Magann EF. A comparison of 3 criteria of oligohydramnios in identifying peripartum complications: a secondary analysis. Am J Obstet Gynecol. Aug 2007;197(2):207.e1-7; discussion 207.e7-8. [Medline].

  5. Moore TR, Cayle JE. The amniotic fluid index in normal human pregnancy.. Am J Obstet Gynecol. May 1990;162(5):1168-73. [Medline].

  6. Peipert JF, Donnenfeld AE. Oligohydramnios: a review. Obstet Gynecol Surv. Jun 1991;46(6):325-39. [Medline].

  7. Sherer DM. A review of amniotic fluid dynamics and the enigma of isolated oligohydramnios. Am J Perinatol. Jul 2002;19(5):253-66. [Medline].

  8. Chamberlain PF, Manning FA, Morrison I, et al. Ultrasound evaluation of amniotic fluid volume. I. The relationship of marginal and decreased amniotic fluid volumes to perinatal outcome. Am J Obstet Gynecol. Oct 1 1984;150(3):245-9. [Medline].

  9. Jaba B, Mohiuddin AS, Dey SN, Khan NA, Talukder SI. Ultrasonographic determination of amniotic fluid volume in normal pregnancy. Mymensingh Med J. Jul 2005;14(2):121-4. [Medline].

  10. Magann EF, Chauhan SP, Barrilleaux PS, Whitworth NS, McCurley S, Martin JN. Ultrasound estimate of amniotic fluid volume: color Doppler overdiagnosis of oligohydramnios. Obstet Gynecol. Jul 2001;98(1):71-4. [Medline].

  11. Moore TR. Sonographic screening for oligohydramnios: does it decrease or increase morbidity?. Obstet Gynecol. Jul 2004;104(1):3-4. [Medline].

  12. Zlatnik MG, Olson G, Bukowski R, Saade GR. Amniotic fluid index measured with the aid of color flow Doppler. J Matern Fetal Neonatal Med. Apr 2003;13(4):242-5. [Medline].

  13. Leveno KJ, Quirk JG Jr, Cunningham FG, et al. Prolonged pregnancy. I. Observations concerning the causes of fetal distress. Am J Obstet Gynecol. Nov 1 1984;150(5 Pt 1):465-73. [Medline].

  14. Ek S, Andersson A, Johansson A, Kublicas M. Oligohydramnios in uncomplicated pregnancies beyond 40 completed weeks. A prospective, randomised, pilot study on maternal and neonatal outcomes. Fetal Diagn Ther. May-Jun 2005;20(3):182-5. [Medline].

  15. Hassan AA. The role of amniotic fluid index in the management of postdate pregnancy. J Coll Physicians Surg Pak. Feb 2005;15(2):85-8. [Medline].

  16. Magann EF, Doherty DA, Chauhan SP, Busch FW, Mecacci F, Morrison JC. How well do the amniotic fluid index and single deepest pocket indices (below the 3rd and 5th and above the 95th and 97th percentiles) predict oligohydramnios and hydramnios?. Am J Obstet Gynecol. Jan 2004;190(1):164-9. [Medline].

  17. Magann EF, Doherty DA, Chauhan SP, Busch FW, Mecacci F, Morrison JC. How well do the amniotic fluid index and single deepest pocket indices (below the 3rd and 5th and above the 95th and 97th percentiles) predict oligohydramnios and hydramnios?. Am J Obstet Gynecol. Jan 2004;190(1):164-9. [Medline].

  18. Moore TR. Superiority of the four-quadrant sum over the single-deepest-pocket technique in ultrasonographic identification of abnormal amniotic fluid volumes. Am J Obstet Gynecol. Sep 1990;163(3):762-7. [Medline].

  19. Ross MG, Beall MH, Christenson PD. Amniotic fluid volume and perinatal outcome. Am J Obstet Gynecol. Mar 2007;196(3):e17. [Medline].

  20. Rutherford SE, Phelan JP, Smith CV, Jacobs N. The four-quadrant assessment of amniotic fluid volume: an adjunct to antepartum fetal heart rate testing. Obstet Gynecol. Sep 1987;70(3 Pt 1):353-6. [Medline].

  21. Stoll C, Alembik Y, Roth MP, Dott B. Study of 224 cases of oligohydramnios and congenital malformations in a series of 225,669 consecutive births. Community Genet. 1998;1(2):71-7. [Medline].

  22. Umber A, Chohan MA. Intravenous maternal hydration in third trimester oligohydramnios: effect on amniotic fluid volume. J Coll Physicians Surg Pak. Jun 2007;17(6):336-9. [Medline].

  23. Yan-Rosenberg L, Burt B, Bombard AT, Callado-Khoury F, Sharett L, Julliard K. A randomized clinical trial comparing the effect of maternal intravenous hydration and placebo on the amniotic fluid index in oligohydramnios. J Matern Fetal Neonatal Med. Oct 2007;20(10):715-8. [Medline].

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

decreased amniotic fluid, amniotic fluid volume, AFV, amniotic fluid index, AFI, maximum vertical pocket, MVP, single deepest pocket, SDP

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Jason K Baxter, MD, Fellow in Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital
Jason K Baxter, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Association of Professors of Gynecology and Obstetrics, Sigma Xi, and Society for Maternal-Fetal Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Harish M Sehdev, MD, Assistant Professor of Clinical Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University of Pennsylvania; Consulting Staff, Pennsylvania Hospital, University of Pennsylvania Health System
Harish M Sehdev, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Obstetricians and Gynecologists, American Institute of Ultrasound in Medicine, Phi Beta Kappa, and Society for Maternal-Fetal Medicine
Disclosure: Nothing to disclose.

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
John W Breckenridge, MD, FACR is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Institute of Ultrasound in Medicine, American Medical Association, and Pennsylvania Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Christopher L Sistrom, MD, Associate Chair for Research, Assistant Professor, Department of Radiology, University of Florida School of Medicine
Christopher L Sistrom, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, Association of University Radiologists, Phi Beta Kappa, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Karen L Reuter, MD, FACR, Professor, Department of Radiology, Lahey Clinic Medical Center
Karen L Reuter, MD, FACR is a member of the following medical societies: American Association for Women Radiologists, American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.