Effect of maternal hydration on the increase of amniotic fluid index

The objective of this study was to determine the effect of maternal hydration with oral isotonic solution and water on the amniotic fluid (AF) index of women with normohydramnios. Women with a normal AF index and gestational age between 33 and 36 weeks without maternal complications were randomized into three groups [isotonic solution (Gatorade®), water, control]. The isotonic solution and water groups were instructed to drink 1.5 L of the respective solution and the control group was instructed to drink 200 mL water over a period of 2 to 4 h. AF index was measured before and after hydration by Doppler ultrasonography. The investigator performing the AF index measurement was blind to the subject’s group. Ninety-nine women completed the study without any adverse maternal effects. The median increase in AF index after hydration was significantly greater for the isotonic solution and water groups than for the control group. There was no significant difference between the isotonic solution and water groups. Hydration with isotonic solution and water caused a 10-fold (95 percentCI: 2.09-49.89) and 6-fold (95 percentCI: 1.16-30.95) increase in the chance of a 20 percent increase of AF index, respectively. Maternal hydration with isotonic solution or water increased the AF index in women with normohydramnios.

Desvendando uma historia de exclusao: a experiencia do Centro de Documentacao e Pesquisa do Hospital Colonia Itapua / Revealing a history of exclusion: the experience at Hospital Colonia Itapua Data and Research Center

Fundado em maio de 1940, no município de Viamão, Rio Grande do Sul, o Hospital Colônia Itapuã foi criado para abrigar os portadores do mal de Hansen. Construído para funcionar como uma microcidade, o hospital foi palco de inúmeras histórias de vida e trabalho. Os fragmentos destas trajetórias coletivas e individuais estão sendo resgatados desde 1999, quando foi implementado o Centro de Documentação e Pesquisa (Cedope/HCI). É atravésw das atividades deste centro que propomos apresentar uma aproximação com a história do hospital e daqueles que viveram e ainda vivem nesta instituição