International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
Water intake and its relation with oligohydramnios and vaginal bleeding among low resource, rural pregnant women: a community based observational study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Chhabra Shakuntala, Kumar Naina
Аннотация
BACKGROUND: Hydration during pregnancy has a significant effect on pregnancy outcomes.
OBJECTIVE: This study was conducted to explore relationship between water intake (WI) during pregnancy with oligohydramnios, vaginal bleeding, and perinatal deaths.
METHODOLOGY: A community-based study was conducted on pregnant women in 100 villages, around village with health facility (study center) over 2 years. Information about WI, oligohydramnios, vaginal bleeding, and pregnancy outcome was collected by asking women about their medical history and looking at their maternity records.
RESULTS: Of 3713 pregnant women, the majority (61.1%) were 20-29 years old, belonged to a low-economic class (62.8%), had low education levels (36.6%), and had previous births (61.0%). Among all participants, 20.7% reported ≤4 glasses WI daily, 25.2% 5-8 glasses, 29.5% nine to <12 glasses, and 24.6% ≥12 glasses. The number of cases of oligohydramnios and vaginal bleeding was significantly greater among women who consumed ≤4 glasses of water/every day (52.3% and 45.5%, respectively), compared to those who consumed ≥12 glasses daily (3.1% and 0%, respectively) (P = 0.001). Among 3713 women, 3258 (87.7%) had term births without any apparent complications or perinatal losses, and 455 (12.3%) experienced complications. Of these 455 women with complications, 129 (28.4%) had preterm births, 8.5% were diagnosed with oligohydramnios, and 326 (71.6%) had term births, 8.0% with oligohydramnios. A significant difference was found in perinatal deaths in preterm births (45.5%) with oligohydramnios compared to 15.4% term births with oligohydramnios (P = 0.001). In women without oligohydramnios, there were 3.7% perinatal deaths in term and 10.4% in preterm babies.
CONCLUSION: The majority of pregnant women who did not develop oligohydramnios or vaginal bleeding used to drink ≥12 glasses of water daily. Women who had greater water intake were less likely to have oligohydramnios and experienced fewer perinatal deaths.
OBJECTIVE: This study was conducted to explore relationship between water intake (WI) during pregnancy with oligohydramnios, vaginal bleeding, and perinatal deaths.
METHODOLOGY: A community-based study was conducted on pregnant women in 100 villages, around village with health facility (study center) over 2 years. Information about WI, oligohydramnios, vaginal bleeding, and pregnancy outcome was collected by asking women about their medical history and looking at their maternity records.
RESULTS: Of 3713 pregnant women, the majority (61.1%) were 20-29 years old, belonged to a low-economic class (62.8%), had low education levels (36.6%), and had previous births (61.0%). Among all participants, 20.7% reported ≤4 glasses WI daily, 25.2% 5-8 glasses, 29.5% nine to <12 glasses, and 24.6% ≥12 glasses. The number of cases of oligohydramnios and vaginal bleeding was significantly greater among women who consumed ≤4 glasses of water/every day (52.3% and 45.5%, respectively), compared to those who consumed ≥12 glasses daily (3.1% and 0%, respectively) (P = 0.001). Among 3713 women, 3258 (87.7%) had term births without any apparent complications or perinatal losses, and 455 (12.3%) experienced complications. Of these 455 women with complications, 129 (28.4%) had preterm births, 8.5% were diagnosed with oligohydramnios, and 326 (71.6%) had term births, 8.0% with oligohydramnios. A significant difference was found in perinatal deaths in preterm births (45.5%) with oligohydramnios compared to 15.4% term births with oligohydramnios (P = 0.001). In women without oligohydramnios, there were 3.7% perinatal deaths in term and 10.4% in preterm babies.
CONCLUSION: The majority of pregnant women who did not develop oligohydramnios or vaginal bleeding used to drink ≥12 glasses of water daily. Women who had greater water intake were less likely to have oligohydramnios and experienced fewer perinatal deaths.