ABSTRACT
Background: the study was performed in a prospective randomized fashion in order to compare the value of tansvaginal ultrasound, and the value of combined colour Doppler imaging of uterine, ovarian blood flow and transvaginal folliculometry in assessment of ovulation induction of infertile women
Objectives: Ovulation rate was taken as the gold standard for assessment of ovulation induction result
Patients and Methods: Analysis of the results provided the following information: A] Better sensitivity and specificity of colour Doppler indices in detection of ovulation. B] Better timing of human chorionic gonadotrophin administration and better ovulation rate when colour Doppler was used in cycle monitoring
Results: It can be concluded from the results of this study that combined use of transvaginal sonography and colour Doppler imaging is more reliable in assessment of ovulation and is more useful in monitoring of follicular growth and vascularity in clomiphene citrate induced cycles than the use of transvaginal ultrasound alone
Conclusion: combined use of transvaginal sonography and colour Doppler imaging is more reliable in assessment of ovulation and is more useful in monitoring of follicular growth and vascularity in clomiphene citrate induced cycles than the use of transvaginal ultrasound alone. The study opens a new field of ongoing research on the valuable application of colour Doppler studies in the management of gynecologic infertility due to ovarian cause
ABSTRACT
Background: role of intravenous hydration is well documented for the treatment of oligohydramnios. The present study concentrated on the efficacy of intravenous hydration in cases of unexplained oligohydramnios
Aim of the study: this study aimed to evaluate the effect of intravenous maternal hydration [hypotonic and isotonic fluid] in pregnancies with third-trimester oligohydramnios on amniotic fluid index and uteroplacental perfusion and fetal blood flow
Patients and Methods: this study was conducted in the Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Egypt, during the period from January 2017 to January 2018. A total of 60 pregnant women were included and parameters like age, parity, BMI, amniotic fluid index, urine specific gravity, hematocrit value, umbilical artery pulsatility index and uterine artery pulsatility index before and after maternal hydration were noted and compared
Results: intravenous maternal infusion of [1/2] normal saline [0.45%] at a rate of 1000 ml/hr for two hours has statistically difference in the mean amniotic fluid index ,in mean urine specific gravity, in mean umbilical artery pulsatility index and in mean uterine artery pulsatility index immediately after hydration,72 hr and one week after hydration [p<0.05]
Conclusions: maternal intravenous hydration with hypotonic fluid can be used in the treatment of oligohydramnios