Critérios ultrassonográficos para diagnóstico de oligoâmnio: uma revisão da literatura
DOI:
https://doi.org/10.34119/bjhrv6n4-120Keywords:
oligoâmnio, ultrassonografia, líquido amniótico, sofrimento fetal, índice de líquido amnióticoAbstract
O oligoâmnio, definido como uma redução anormal na quantidade de líquido amniótico. É uma condição que requer uma avaliação precisa para o manejo adequado durante a gestação. O uso da ultrassonografia desempenha um papel crucial na identificação e acompanhamento do oligoâmnio. Este artigo tem como objetivo revisar os critérios ultrassonográficos para o diagnóstico de oligoâmnio, destacando as medidas e os parâmetros utilizados na prática clínica. Além disso, serão discutidos os achados associados ao oligoâmnio e suas implicações para a saúde materna e fetal. Ademais, demonstra a importância da ultrassonografia na detecção precoce e no monitoramento do oligoâmnio, permitindo intervenções oportunas para melhorar os resultados obstétricos.
References
ACOG (THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGIEST). Clinical Management Guidelines for Obstetrician – Gynecologists. Thyroid Disease in Pregnancy. Obstetrics & Gynecology, v. 135, n. 6, p. 261–268, 2020.
BASTIDE, A. et al. Ultrasound evaluation of amniotic fluid: Outcome of pregnancies with severe oligohydramnios. American Journal of Obstetrics and Gynecology, v. 154, n. 4, p. 895–900, abr. 1986.
BEALL, M. H. et al. Amniotic Fluid Water Dynamics. Placenta, v. 28, n. 8–9, p. 816–823, ago. 2007.
BRACE, R. A. Physiology of Amniotic Fluid Volume Regulation. Clinical Obstetrics and Gynecology, v. 40, n. 2, p. 280–289, jun. 1997.
BRACE, R. A.; CHEUNG, C. Y. Regulation of Amniotic Fluid Volume: Evolving Concepts. In: In Advances in Experimental Medicine and Biology. 814. ed. New York: Springer, 2014. p. 49–68.
BRACE, R. A.; CHEUNG, C. Y.; ANDERSON, D. F. Regulation of amniotic fluid volume: insights derived from amniotic fluid volume function curves. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, v. 315, n. 4, p. R777–R789, 1 out. 2018.
BUDUNOGLU, M. D. et al. Fetal renal blood flow velocimetry and cerebro-placental ratio in patients with isolated oligohydramnios. Journal of Gynecology Obstetrics and Human Reproduction, v. 48, n. 7, p. 495–499, set. 2019.
CHAMBERLAIN, P. F. et al. Ultrasound evaluation of amniotic fluid volume. American Journal of Obstetrics and Gynecology, v. 150, n. 3, p. 245–249, out. 1984.
CHAUHAN, S. P. et al. Amniotic fluid index vs single deepest pocket technique during modified biophysical profile: a randomized clinical trial. American Journal of Obstetrics and Gynecology, v. 191, n. 2, p. 661–667, ago. 2004.
DASHE, J. S.; PRESSMAN, E. K.; HIBBARD, J. U. SMFM Consult Series #46: Evaluation and management of polyhydramnios. American Journal of Obstetrics and Gynecology, v. 219, n. 4, p. B2–B8, out. 2018.
DUBIL, E. A.; MAGANN, E. F. Amniotic fluid as a vital sign for fetal wellbeing. Australasian Journal of Ultrasound in Medicine, v. 16, n. 2, p. 62–70, 31 maio 2013.
EK, S. et al. Oligohydramnios in Uncomplicated Pregnancies beyond 40 Completed Weeks. Fetal Diagnosis and Therapy, v. 20, n. 3, p. 182–185, 2005.
FÄGERQUIST, M. et al. Fetal urine production and accuracy when estimating fetal urinary bladder volume. Ultrasound in Obstetrics and Gynecology, v. 17, n. 2, p. 132–139, fev. 2001.
FORINI F, NICOLINI G, KUSMIC C, I. G. Protective Effects of Euthyroidism Restoration on Mitochondria Function and Quality Control in Cardiac Pathophysiology. Int J Mol Sci, v. 20, n. 14, p. 1–20, 2019.
GOODLIN, R. C.; ANDERSON, J. C.; GALLAGHER, T. F. Relationship between amniotic fluid volume and maternal plasma volume expansion. American Journal of Obstetrics and Gynecology, v. 146, n. 5, p. 505–511, jul. 1983.
HARMAN, C. R. Amniotic Fluid Abnormalities. Seminars in Perinatology, v. 32, n. 4, p. 288–294, ago. 2008.
Indications for Outpatient Antenatal Fetal Surveillance. Obstetrics & Gynecology, v. 137, n. 6, p. e177–e197, jun. 2021.
JAIN, A. et al. Reduced fetal urine production rate—An early marker of fetal inflammatory response syndrome in preterm premature rupture of membranes: Prospective cohort study. International Journal of Gynecology & Obstetrics, v. 159, n. 2, p. 444–450, 3 nov. 2022.
KEHL, S. et al. Single deepest vertical pocket or amniotic fluid index as evaluation test for predicting adverse pregnancy outcome (SAFE trial): a multicenter, open-label, randomized controlled trial. Ultrasound in Obstetrics & Gynecology, v. 47, n. 6, p. 674–679, jun. 2016.
LEE, S. M. et al. Usefulness of Fetal Urine Production Measurement for Prediction of Perinatal Outcomes in Uteroplacental Insufficiency. Journal of Ultrasound in Medicine, v. 33, n. 12, p. 2165–2171, dez. 2014.
MAGANN, E. et al. The Evidence for Abandoning the Amniotic Fluid Index in Favor of the Single Deepest Pocket. American Journal of Perinatology, v. 24, n. 9, p. 549–555, set. 2007.
MAGANN, E. F. et al. Comparability of the amniotic fluid index and single deepest pocket measurements in clinical practice. The Australian and New Zealand Journal of Obstetrics and Gynaecology, v. 43, n. 1, p. 75–77, fev. 2003.
MIREMBERG, H. et al. The association between isolated oligohydramnios at term and placental pathology in correlation with pregnancy outcomes. Placenta, v. 90, p. 37–41, jan. 2020.
MORRIS, R. et al. Association and prediction of amniotic fluid measurements for adverse pregnancy outcome: systematic review and meta-analysis. BJOG: An International Journal of Obstetrics & Gynaecology, v. 121, n. 6, p. 686–699, maio 2014.
NABHAN, A. F.; ABDELMOULA, Y. A. Amniotic fluid index versus single deepest vertical pocket as a screening test for preventing adverse pregnancy outcome. Cochrane Database of Systematic Reviews, v. 2010, n. 1, 15 jul. 2008.
NABHAN, A. F.; ABDELMOULA, Y. A. Amniotic fluid index versus single deepest vertical pocket: A meta-analysis of randomized controlled trials. International Journal of Gynecology & Obstetrics, v. 104, n. 3, p. 184–188, mar. 2009.
ODIBO, I. N. et al. Addition of Color Doppler Sonography for Detection of Amniotic Fluid Disturbances and Its Implications on Perinatal Outcomes. Journal of Ultrasound in Medicine, v. 36, n. 9, p. 1875–1881, set. 2017.
PHELAN, J. P. et al. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks’ gestation. The Journal of reproductive medicine, v. 32, n. 7, p. 540–2, jul. 1987.
Practice Bulletin No. 175: Ultrasound in Pregnancy. Obstetrics & Gynecology, v. 128, n. 6, p. e241–e256, dez. 2016.
PRI-PAZ, S. et al. Maximal amniotic fluid index as a prognostic factor in pregnancies complicated by polyhydramnios. Ultrasound in Obstetrics & Gynecology, v. 39, n. 6, p. 648–653, jun. 2012.
RABIE, N. et al. Oligohydramnios in complicated and uncomplicated pregnancy: a systematic review and meta-analysis. Ultrasound in Obstetrics & Gynecology, v. 49, n. 4, p. 442–449, abr. 2017.
ROSS, M. G.; BRACE, R. A. National Institute of Child Health and Development Conference summary: Amniotic fluid biology - basic and clinical aspects. The Journal of Maternal-Fetal & Neonatal Medicine, v. 10, n. 1, p. 2–19, 1 fev. 2001.
ROSSI, A. C.; PREFUMO, F. Perinatal outcomes of isolated oligohydramnios at term and post-term pregnancy: a systematic review of literature with meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, v. 169, n. 2, p. 149–154, jul. 2013.
SCHWARTZ, N. et al. Practice patterns in the management of isolated oligohydramnios: a survey of perinatologists. The Journal of Maternal-Fetal & Neonatal Medicine, v. 22, n. 4, p. 357–361, 7 jan. 2009.
SEOL, H.-J. et al. Hourly fetal urine production rate in isolated oligohydramnios at term. PLOS ONE, v. 16, n. 5, p. e0250659, 21 maio 2021.
SHERER, D. M. A Review of Amniotic Fluid Dynamics and the Enigma of Isolated Oligohydramnios. American Journal of Perinatology, v. 19, n. 5, p. 253–266, 2002.
SHREM, G. et al. Isolated Oligohydramnios at Term as an Indication for Labor Induction: A Systematic Review and Meta-Analysis. Fetal Diagnosis and Therapy, v. 40, n. 3, p. 161–173, 2016.
WAX, J. R.; PINETTE, M. G. The amniotic fluid index and oligohydramnios: a deeper dive into the shallow end. American Journal of Obstetrics and Gynecology, v. 227, n. 3, p. 462–470, set. 2022.
WEINER, E. et al. Amniotic fluid volume at presentation with early preterm prelabor rupture of membranes and association with severe neonatal respiratory morbidity. Ultrasound in Obstetrics & Gynecology, v. 54, n. 6, p. 767–773, dez. 2019.
WILLIAMS, K. Amniotic Fluid Assessment. Obstetrical & Gynecological Survey, v. 48, n. 12, p. 795–800, dez. 1993.
