Authors: Leibovitch, Leah¹; Kuint, Jacob¹; Rosenfeld, Elkana²; Schushan-Eisen, Irit¹; Weissmann-Brenner, Alina³; Maayan-Metzger, Ayala¹

Source: Acta Pædiatrica, Volume 101, Number 7, 1 July 2012 , pp. 727-730(4)

Publisher: Wiley-Blackwell

Abstract:

<title type="main">Abstract</title>

Aim: To evaluate rates of early short-term neonatal complications among term singleton newborn infants with oligohydramnios.

Methods: Retrospective data were collected on 456 term infants with prenatal diagnosis of oligohydramnios and on matched controls, including information on maternal condition and on infant perinatal complications.

Results: Infants in the study group were born with lower birthweight and were SGA compared with those in the control group. Rates of renal malformations were significantly higher in the study group compared with the controls (15-3.3% and 3-0.7%, respectively; p = 0.007). Among the severe oligohydramnios subgroup (Amniotic Fluid Index <2), renal anomalies were even more prevalent compared to other infants with oligohydramnios and to the controls (6-9.8%, 9-2.3% and 3-0.7%, respectively; p < 0.001). The incidence of skeletal deformities (developmental dislocation of hip and torticollis) was higher among the study group.

Conclusion: Term infants with oligohydramnios that was detected near birth are associated with a greater prevalence of renal malformations (mostly mild hydronephrosis) as well as congenital torticollis and developmental dislocated hips compared with controls. Postnatal renal evaluation should be considered in infants with severe oligohydramnios.

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1651-2227.2012.02667.x

Affiliations: 1: .Department of Neonatology, The Edmond and Lili Safra Children's Hospital, Tel Aviv, Israel 2: .Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel 3: .Department of Obstetrics, Sheba medical center, Tel Aviv, Israel

Publication date: 2012-07-01

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