Hubungan Asupan Cairan Ibu Hamil terhadap Indeks Cairan Amnion

https://doi.org/10.22146/jkr.38549

Eny Fatmawati(1*), Diah Rumekti Hadiati(2), Heru Pradjatmo(3)

(1) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran-Kesehatan Masyarakat dan Keperawatan, UGM
(2) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran-Kesehatan Masyarakat dan Keperawatan, UGM
(3) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran-Kesehatan Masyarakat dan Keperawatan, UGM
(*) Corresponding Author

Abstract


Introduction: Adequate amniotic fluid volume is a requirement for intra uterine fetal development and good pregnancy outputs / neonatal. Adequate intake of fluid in pregnant women can increase both the amniotic fluid index on oligohydramniotic or normoamniotic, but the scientific basis for the adequacy of the recommended daily fluid have not clear yet. Furthermore, the fluid intake counseling in addition to nutrition for pregnant women is needed

Objective: To determine the fluid intake in pregnant women and the mean difference of  amniotic fluid index on adequate fluid intake compared to less fluid intake.

Methods: This research used prospective observational cohort study, conducted against the third semester pregnant women in Puskesmas Mergangsan and Tegalrejo Yogyakarta during July until September 2014. The subjects who met the inclusion criteria were divided into adequate and less fluid intake groups. The correlation between fluid intake and amniotic fluid index was analyzed using t-test and linear regression.

Result and Discussion: The total subjects who met the criteria were 27 people, consist of 12 people in adequate fluid intake group and 15 people in less fluid intake group. The mean of subject’s fluid intake 2078 ml (enough), while the mean of amniotic fluid index (AFI) 12,76 cm (normoamniotic).The result showed that there was a significant difference (3,50 cm (IK 95%; 1,5-5,48); P < 0,05) between the mean of AFI from adequate fluid intake group compared to less fluid intake group . Simple linear regression test showed the effect of fluid intake for AFI namely 31,7%; with the amount of predicted AFI = 10,686 + 3,545 x fluid intake – 1,015 x age – 1,317 x education + 0,314 x occupation (ARS= 44,5%). External variables (age, education, and occupation) had no significant effect for AFI .

Conclusion : The mean preview of fluid intake in the third semester pregnant women in Yogyakarta was adequate. Moreover, there was a AFI signifficant difference between adequate fluid intake compared to less fluid intake. 

 Keywords: fluid intake; amniotic fluid index; AFI


Keywords


fluid intake; amniotic fluid index; AFI

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References

  1. Sawka MN, Cheuvront SN, Carter R. 2005. Human water needs. Nutrition Reviews, 63(6): S30-S39.
  2. Montgomery KS. 2002. An update on water needs during pregnancy and beyond. The Journal of Perinatal Education, 11(3): 40-42.
  3. Jequier E, Constant F. 2010. Water as an essential nutrient: the physiological basis of hydration. European Journal of Clinical Nutrition, 2010, 64: 115-123.
  4. EFSA. 2010. Panel on dietetic products nutritions and allergies: Scientific opinion on dietary reference values for water. European Food Safety Authority Journal, 2010, 8(3): 1459. Available online: http://www.efsa.europa.eu/en/efsajournal/pub/1459.html.
  5. Konsensus Nasional POGI. 2013. Kebutuhan asupan air bagi ibu hamil, melahirkan dan menyusui.
  6. Patrelli TS, Gizzo S, Cosmi E, Carpano MG, Gangi SD, Pedrazzi G, dkk. 2012. Maternal hydration therapy improves the quantity of amniotic fluid and the pregnancy outcome in third-trimester isolated oligohydramnios: A controlled randomized institutional trial. J Ultrasound Med, 31: 239–244.
  7. Moore TR. 2011. The role of amniotic fluid assessment in evaluating fetal well-being. clin perinatologi, 38: 33-46.
  8. Borges VTM, Rososchansky J, Abbade JF, Dias A, Peracoli JC, Rudge MVC. 2011. Effect of maternal hydration on the increase of amniotic fluid index, Braz J Med Biol Res, 44(3): 263-266.
  9. Rutherford SE, Smith CV, Phelan JP, Kawakami K, Ahn MO. 1987. Four-quadrant assessment of amniotic fluid volume interobserver and intraobserver. The Journal of reproductive Medicine, 32(8): 587-589.
  10. Hinh ND, Ladinsky JL. 2005. Amniotic fluid index measurements in normal pregnancy after 28 gestational weeks. Internationan Journal of Gynecology & Obstetrics, 91: 132-136.
  11. Vico AE, Liu IKM, Brosnan RJ. 2016. Effects of estradiol on uterine perfusion in anesthetized cyclic mares affected with uterine vascular elastosis. Animal Reproductive Science, 164: 57-63.
  12. Ross MG, Beall MH. 2014. Amniotic fluid dynamics. Maternal Fetal medicine. 7th ed. 2014, Philadelphia. Elsevier saunders, 47-52.
  13. Gustam. 2012. Faktor risiko dehidrasi pada remaja dan dewasa. Skripsi Sarjana Departemen Gizi Masyarakat Fakultas Ekologi Manusia IPB, Bogor.
  14. Kaur S, Nieuwenhuijsen MJ, Ferrier H, Steer P. 2014. Exposure of pregnant women to tap water related activities. Occup Environ Med, 61: 454-460.
  15. Borges VTM, Rososchansky J, Abbade JF, Dias A, Peracoli JC, Rudge MVC. 2011. Effect of maternal hydration on the increase of amniotic fluid index, Braz J Med Biol Res, 44(3): 263-266.
  16. Gruninger B, Schoon HA, Klug E. 1998. Incidence and morphology of endometrial angiopathies in mares in relationship to age and parity. Journal of Comparative pathology, 119(3): 293-309.
  17. Battaglia F, Prystowsky H, Smisson C, Hellegers A, Bruns P. 1960. Fetal blood studies: XIII. The effect of the administration of fluids intravenously to mothers upon the concentrations of water and electrolytes in plasma of human fetuses. Pediatrics, 25(2): 2-10.
  18. Stevens AD, Lumbers ER. The effect of maternal fluid intake on the volume and composition of fetal urine. J Dev Physiol , 7: 161-166



DOI: https://doi.org/10.22146/jkr.38549

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