EFFECTS OF ORAL FLUIDS AND INTRAVENOUS FLUIDS IN THE IMPROVEMENT OF AMNIOTIC FLUID INDEX DURING THIRD TRIMESTER OF PREGNANCY

Abstract

Objective: To assess the effects of oral fluids and intravenous fluids in terms of frequency of improving Amniotic Fluid Index during third trimester of pregnancy having oligohydramnios.
Study Design: Comparative prospective survey.

Place and Duration of Study: Obstetrics and Gynaecological Department of Fauji Foundation Hospital
Rawalpindi, from Apr 2018 to Oct 2018.

Methodology: A total of 100 patients with singleton pregnancy (50 in each group) at gestational age of 28-37
weeks and AFI of 5cm or less than 5cm were included. Non probability consecutive sampling technique was
used. Ethics approval from hospital ethical committee and research board was taken. Patients were randomized
into 2 groups (50 patients each) by lottery method. Group A was instructed to drink 2 liters of water per day for
a time period of seven days and patients in group B was given 2 liters of 5% D/W which was in addition to their
normal fluids intake. Amniotic fluid index was measured pre hydration and post hydration in both groups. Data
was analyzed using SPSS-21.

Results: Mean age of the patients was 33.62 ± 5.45 years and 34.70 ± 4.76 years for groups A and B respectively.
In group A and group B mean gestational age was 34.28 ± 1.85 weeks vs 34.32 ± 1.82 weeks. In group A, 44 (88%)..............