Spiro, Judith Eva, Konrad, Martin, Rieger-Fackeldey, Esther, Masjosthusmann, Katja, Amler, Susanne ORCID: 0000-0001-6903-2906, Klockenbusch, Walter and Schmitz, Ralf (2015). Renal oligo- and anhydramnios: cause, course and outcome-a single-center study. Arch. Gynecol. Obstet., 292 (2). S. 327 - 337. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-0711

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Abstract

To evaluate the outcome of patients with renal oligohydramnios and explore the impact of patient variables on outcome and prognosis. A retrospective single-center study was conducted analyzing 104 pregnancies complicated by oligohydramnios of renal origin from 2001 to 2011. Statistical analysis was performed to assess the influence of pre- and postnatal data on pregnancy outcome, morbidity and mortality. Prenatal renal diagnoses were as follows: hydronephrosis/megaureter: n = 21 (20.2 %), aberrance in renal form or location: n = 7 (6.7 %), cystic renal disease: n = 28 (26.9 %), renal dysplasia: n = 24 (23.1 %), renal agenesis: n = 42 (30.4 %), posterior urethral valves: n = 11 (10.6 %). Hydronephrosis/megaureter and late onset of oligohydramnios were prognostic factors for fetal survival, whereas renal agenesis and associated anomalies had a negative impact on pregnancy outcome. Prenatal interventions did not improve prognosis. Pregnancies complicated by renal oligohydramnios still have a poor outcome. Careful weighing of prognostic factors is necessary to decide about further therapeutic measures.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Spiro, Judith EvaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Konrad, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rieger-Fackeldey, EstherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Masjosthusmann, KatjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Amler, SusanneUNSPECIFIEDorcid.org/0000-0001-6903-2906UNSPECIFIED
Klockenbusch, WalterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmitz, RalfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-397959
DOI: 10.1007/s00404-015-3648-7
Journal or Publication Title: Arch. Gynecol. Obstet.
Volume: 292
Number: 2
Page Range: S. 327 - 337
Date: 2015
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1432-0711
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
AMNIOTIC-FLUID; OLIGOHYDRAMNIOS; DIAGNOSIS; MALFORMATIONS; SURGERYMultiple languages
Obstetrics & GynecologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/39795

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