A Report on the Treatment of a Pregnant Patient with Early Oligohydramnios

Background: Oligohydramnios refers to the volume of amniotic fluid, which is less than the expected pregnancy age, and is recognized by ultrasound. Chronic fluid leakage from the gaps in the membrane greatly reduces the volume of amniotic fluid. Fetal outcomes are bad in early onset of oligohydramnios and are associated with 50% mortality. On the other hand, adhesions between amnion and fetal organs may lead to severe abnormalities.
Case report: A 28-year-old woman with a second pregnancy and a history of abortion is referred to the doctor. Pregnancy was 16 weeks while visiting. In an ultrasound that the patient showed to the doctor, AF = 2cm and a severe reduction in hydramniosic fluid was reported. In the first stage of serum therapy, 3 liters of serum 1/3 and 2/3 (sugar-salt) were prescribed on a daily basis for 5 days. The patient was also advised to take more fluids while in complete bed rest. After a week of rest, serum therapy and more fluid intake by the patient, sonography was requested. In the new ultrasound, AF = 5cm. By controlling and tracking the patient in the following months, AF was normal. AF was reported normal until the end of pregnancy with the mother not suffering from a specific problem.
Conclusions: According to the reported case and the high number of cases observed, it can be concluded that in patients with oligohydramnios ultrasound (in pregnancies less than 34 weeks), excessive fluid intake and absolute rest are recommended.