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An experience of second-trimester anhydramnios salvaged by single amnioinfusion

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Abstract

Second-trimester anhydramnios, which is primarily caused by ruptured membranes, placental dysfunction, or congenital renal malformations, is associated with high perinatal morbidity and mortality. Although amnioinfusion temporarily increases amniotic fluid volume, it does not generally provide a fundamental solution. We describe a case of second-trimester anhydramnios with an umbilical cord factor, wherein single amnioinfusion may have successfully broken a vicious circle involving non-reassuring fetal status. A 34-year-old primigravid woman was referred to our hospital because of anhydramnios at 22 weeks’ gestation. Single amnioinfusion improved the fetal circulatory failure, and the patient delivered a healthy full-term newborn. Single amnioinfusion may be a therapeutic approach to improve the prognosis of pregnancy when second-trimester anhydramnios results from umbilical cord factors.

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References

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Acknowledgements

The authors are grateful to Dr. Sachiko Minamiguchi for providing informative comments.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan

    Shingo Io, Eiji Kondoh, Yoshitsugu Chigusa, Hirohiko Tani, Junzo Hamanishi & Ikuo Konishi

Authors
  1. Shingo Io
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  2. Eiji Kondoh
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  3. Yoshitsugu Chigusa
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  4. Hirohiko Tani
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  5. Junzo Hamanishi
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  6. Ikuo Konishi
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Corresponding author

Correspondence to Eiji Kondoh.

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There are no financial or other relations that could lead to a conflict of interest.

Ethical statements

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (Institutional and National) and with the Helsinki Declaration of 1975, as revised in 2008.

Informed consent

Written informed consent was obtained from the patient for publication of this case report and accompanying images.

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Io, S., Kondoh, E., Chigusa, Y. et al. An experience of second-trimester anhydramnios salvaged by single amnioinfusion. J Med Ultrasonics 45, 525–527 (2018). https://doi.org/10.1007/s10396-017-0842-1

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  • DOI: https://doi.org/10.1007/s10396-017-0842-1

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