SynthesisThe Cochrane database of systematic reviews2000
Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume.
Synthesis in The Cochrane database of systematic reviews, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed, 81 citations in OpenAlex.
- Article
- Insulin-regulated aminopeptidase deficiency impairs cardiovascular adaptations and placental development during pregnancy.Clinical science (London, England : 1979) · 2020Article
- Associations between hydration state and pregnancy complications, maternal-infant outcomes: protocol of a prospective observational cohort study.BMC pregnancy and childbirth · 2020Article
- Urine color as an indicator of urine concentration in pregnant and lactating women.European journal of nutrition · 2017Article
- Breech repositioning unresponsive to Webster technique: coexistence of oligohydramnios.Journal of chiropractic medicine · 2013Article
- Diagnosis and management of childhood polycystic kidney disease.Pediatric nephrology (Berlin, Germany) · 2011Review
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Authors and funding
2 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundOligohydramnios (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.
objectivesThe 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 and the Cochrane Controlled Trials Register were searched. Date of last search: 1 February 1999. SELECTION CRITERIA: Randomised trials comparing maternal hydration with no hydration in pregnant women with reduced or normal amniotic fluid volume. DATA COLLECTION AND ANALYSIS: Eligibility and trial quality were assessed by both reviewers. MAIN
resultsTwo studies of 77 women were included. The women were asked to drink two litres of water before having a repeat ultrasound examination. Maternal hydration in women with and without oligohydramnios was associated with an increase in amniotic volume (weighted mean difference for women with oligohydramnios 2.01, 95% confidence interval 1.43 to 2.56; and weighted mean difference for women with normal amniotic fluid volume 4.5, 95% confidence interval 2.92 to 6.08). Intravenous hypotonic hydration in women with oligohydramnios was associated with an increase in amniotic fluid volume (weighted mean difference 2.3, 95% confidence interval 1.36 to 3.24). Isotonic intravenous hydration had no measurable effect. No clinically important outcomes were assessed in any of the trials. REVIEWER'S
conclusionsSimple maternal hydration appears to increase amniotic fluid volume and may be beneficial in the management of oligohydramnios and prevention of oligohydramnios during labour or prior to external cephalic version. Controlled trials are needed to assess the clinical benefits and possible risks of maternal hydration for specific clinical purposes.
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