Isolated Oligohydramnios Managed Successfully with Maternal Oral Hydration: A Case Report

Abstract

Antenatal management of oligohydramnios can be challenging to the Obstetrician and a source of anxiety to the patient especially when prematurity is of great concern. A multipara who was found to have a fundal height of 20 weeks at 28 weeks’ gestation with no complaint of liquor drainage. Ultrasound scan revealed a singleton viable fetus, single pocket of liquor of 1.24cm and no fetal anomaly.  She had acute oral hydration with two liters of water. Amniotic fluid index was 5cm and 10.4cm by 24 hours and one-week post hydration respectively. AFI remained normal till at 35 and 37 weeks when it decreased and had similar courses of oral hydration repeated with normalization of AFI. She had an uneventful delivery at term to a normal baby of average weight. Maternal oral hydration should be considered as a modality of increasing amniotic fluid volume especially in resource constrained settings.

Key word: Oligohydramnios, Maternal oral hydration, Amniotic fluid