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  1. Oligohydramnios - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References by ICON Health Publications, 2004-12-06
  2. Polyhydramnios and Oligohydramnios: An entry from Gale's <i>Gale Encyclopedia of Medicine, 3rd ed.</i> by Sallie, PhD Freeman, 2006
  3. Oligohydramnios sequence: An entry from Thomson Gale's <i>Gale Encyclopedia of Genetic Disorders, 2nd ed.</i> by Sharon, MS, CGC Aufox, 2005
  4. Gale Encyclopedia of Medicine: Polyhydramnios and oligohydramnios by Sallie Boineau Freeman PhD, 2002-01-01
  5. Oligohydramnios: Webster's Timeline History, 1946 - 2007 by Icon Group International, 2010-05-28
  6. Low Amniotic Fluid Index Raises the Risk Of Maternal Infection.: An article from: Family Practice News by Guang-shing Cheng, 2000-04-15

1. Pregnancy Today - Oligohydramnios: When Amniotic Fluid Is Too Low
Article from Pregnancy Today.Category Health Reproductive Health Complications oligohydramnios......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
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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. Definition. AFI 5 or a single vertical pocket less than 2 cm.
http://192.215.104.222/obgyn/PUBLIC/ULTRASOU/Oligo.htm
OLIGOHYDRAMNIOS
Definition
  • Use of AFI versus depth of pocket increases the predictive value of the BPP to 68% from 46%. REF:Southern Medical Journal 86:426-9,1993
  • Mortality Rate
  • Corrected perinatal mortality 37.74:1,000 for "marginal" (1-2 cm vertical pocket) fluid

  • REF:Am J Obstet Gynecol 1984;150:245-9
  • Delivery is indicated for oligohydramnios unless grossly premature or major anomaly recognized.

  • REF:Am J Obstet Gynecol 1980;136:787
    Differential Diagnosis
    CAUSE PROM IUGR Renal anomaly Abruption Twin-twin transfusion Other congenital anomaly Unknown REF:Am J Obstet Gynecol 164:1597, 1991
    Risk of Oligohydramnios after "Low-normal AFI"
    Gestational age (weeks) A F I Risk of oligohydramnios after 4 days REF:Am J Obstet Gynecol 174:33-6,1996
    Back to Level II Ultrasound

    3. Oligohydramnios
    Course oligohydramnios Sonographic Assessment Clinical Implications Target Audience Physicians, sonographers and
    http://www.iame.com/learning/olig/olig.html

    4. High-Risk Pregnancy - Amniotic Fluid Problems / Hydramnios / Oligohydramnios
    Amniotic Fluid Problems / Hydramnios / oligohydramnios What is amniotic fluid? Amniotic fluid is an important part of pregnancy and fetal development.
    http://www.southeastmissourihospital.com/health/kids/hrpreg~1/amniofp.htm
    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?

    5. 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
    Abstract from The Cochrane Library , Issue 1, 2003 Click here to order the full review
    Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume (Cochrane Review)
    Hofmeyr GJ, Gülmezoglu AM ABSTRACT 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 (September 2001) and the Cochrane Controlled Trials Register (The Cochrane Library, Issue 4, 2001). Selection criteria: Randomised trials comparing maternal hydration with no hydration in pregnant women with reduced or normal amniotic fluid volume.

    6. Oligohydramnios
    A case study, including ultrasound images, from the Department of Radiology at Brigham and Women's Hospital.Category Health Reproductive Health Complications 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.

    7. 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

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    oligohydramnios

    8. CAR - Anomaly Groups - Renal - Oligohydramnios
    of the condition.......
    http://www.wmpi.net/car/anomaly/renal/oligohydramnios.htm
    About CAR Anomalies Reports Incidence Renal - Oligohydramnios About Us
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    Perinatal Mortality Introduction Time Trends VS1 Summary WM Stillbirths ... ReCoDe CEMACH Introduction West Midlands Map Project 27/28 CESDI National Forum 2001 ... CESDI Forum Survey CAR Introduction Anomalies Incidence Reports CRANE Information about the Craniofacial Anomalies Network Public Health Currently Under Development Antenatal Screening Introduction ANS Forum Training Diary Presentations ... Standards Ultrasound (RUG) Introduction 1999 Survey Standards Referral Policy - BWH ... Discussion Board Fetal Growth Fetal Growth Tools Antenatal Growth Charts CTG Tutor Download the CTG Tutor Package Bereavement About Survey Standards Workshop MANNERS About MANNERS Neonatal Data Maternity Data Screen Shots Pregnancy Notes Information about the Pregnancy Notes perinatal.org.uk Information and resource site Abdominal Cardiac Chromosome ... Other 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.

    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
    Abstract from The Cochrane Library , Issue 1, 2003 Click here to order the full review
    Prophylactic versus therapeutic amnioinfusion for oligohydramnios in labour (Cochrane Review)
    Hofmeyr GJ ABSTRACT 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. Data collection and analysis: The reviewer assessed trial quality and extracted data.

    10. Effets Secondaires Des Substances : OLIGOHYDRAMNIOS
    Effets Secondaires des Substances oligohydramnios NIMESULIDE Retour à la page d'accueil
    http://www.biam2.org/www/SubEIIMCOLIGOHYDRAMNIOS.html
    Effets Secondaires des Substances : OLIGOHYDRAMNIOS

    11. Polyhydramios And Oligohydramnios
    Includes definition, aetiology, and management.
    http://matweb.hcuge.ch//El_Mowafi/Polyhydramios_and_oligohydramnios.htm

    12. 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.

    13. 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 March 31, 2003
    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.

    14. Pediatric Pathology
    This baby demonstrates the typical "Potter's facies" with prominent infraorbital folds resulting from oligohydramnios in utero.
    http://www-medlib.med.utah.edu/WebPath/PEDHTML/PED018.html
    This baby demonstrates the typical "Potter's facies" with prominent infraorbital folds resulting from oligohydramnios in utero. This is an example of a deformation sequence in which an anomaly (here the lack of normal kidneys) leads to lack of fetal urine output with resultant oligohydramnios that causes deformation through constraint.

    15. Complications: Oligohydramnios: Too Little Amniotic Fluid
    What you need to know oligohydramnios is the term for too littleamniotic fluid. oligohydramnios is diagnosed with ultrasound.
    http://www.marchofdimes.com/printableArticles/188_1033.asp
    View All Chapters Find Your Local Chapter March 31, 2003
    Before You're Pregnant

    During Your Pregnancy

    Complications

    Caring for Your Baby
    ...
    [View All Articles]

    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.

    16. ParentsPlace
    and possible treatments for oligohydramnios.......
    http://www.parentsplace.com/pregnancy/complications/qa/0,3105,514,00.html
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  • 17. 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

    18. Oligohydramnios
    HOME oligohydramnios. oligohydramnios; oligohydramnios; oligohydramnios;Maternal hydration for increasing amniotic fluid volume in oligohydramnios;
    http://www.bdid.com/oligo.htm

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    19. Online CME Course - Oligohydramnios: Sonographic Assessment And Clinical Implica
    oligohydramnios Sonographic Assessment and Clinical Implications Lyndon M. Hill,MD Professor of OBGYN Medical Director, Ultrasound Magee-Womens Hospital of
    http://www.gemedicalsystems.com/rad/us/education/msucmeoh.html
    Search Entire Site Radiology Cardiology Monitoring IT Solutions Education Services Company Info Catalog
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    Register Home Diagnostic Imaging ... Printer Friendly Online CME Course Oligohydramnios: Sonographic Assessment and Clinical Implications
    Lyndon M. Hill, MD
    Professor of OB-GYN
    Medical Director, Ultrasound
    Magee-Womens Hospital of UPMC Health System
    Pittsburgh, PA
    Table of Contents
  • Objectives Introduction Definition Sonographic Assessment ... CME Quiz

  • About this CME
    Physician and sonographer CME in cooperation with the Institute for Advanced Medical Education.(IAME*) The Institute for Advanced Medical Education (IAME) 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 credit hour in Category 1 of the Physician's Recognition Award of the American Medical Association. * Please note, to read and view the CME is free, but to have the credits awarded there is a fee administered by IAME. Target Audience: Physicians, sonographers and others who perform and / or interpret obstetrical ultrasound.

    20. Online CME Course - Oligohydramnios: Sonographic Assessment And Clinical Implica
    oligohydramnios Sonographic Assessment and Clinical Implications Lyndon M. Hill,MD Professor of OBGYN Medical Director, Ultrasound Magee-Womens Hospital of
    http://www.gemedicalsystems.com/krko/rad/us/education/msucmeoh.html

    Login
    Register Home Radiology ... Printer Friendly
    Online CME Course Oligohydramnios: Sonographic Assessment and Clinical Implications
    Lyndon M. Hill, MD
    Professor of OB-GYN
    Medical Director, Ultrasound
    Magee-Womens Hospital of UPMC Health System
    Pittsburgh, PA
    Table of Contents
  • Objectives Introduction Definition Sonographic Assessment ... CME Quiz

  • About this CME
    Physician and sonographer CME in cooperation with the Institute for Advanced Medical Education.(IAME*) The Institute for Advanced Medical Education (IAME) 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 credit hour in Category 1 of the Physician's Recognition Award of the American Medical Association. * Please note, to read and view the CME is free, but to have the credits awarded there is a fee administered by IAME. Target Audience: Physicians, sonographers and others who perform and / or interpret obstetrical ultrasound. Estimated Time for Completion of tutorial: approximately 50 minutes Date of Review and Release: May 10, 2001

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