Amnioreduction safety in singleton pregnancies; systematic review and meta-analysis Article Swipe
Nikan Zargarzadeh
,
Mohammad Haddadi
,
May Abiad
,
Ali Javinani
,
Eyal Krispin
,
Scott A. Shainker
,
Kjersti M. Aagaard
,
Alireza A. Shamshirsaz
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1515/jpm-2024-0605
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1515/jpm-2024-0605
Objectives Prenatal ultrasound identifies polyhydramnios in approximately 0.7 % of pregnancies. Polyhydramnios (defined as amniotic fluid index >24 cm) is associated with maternal symptoms and preterm delivery. However, amnioreduction (AR) can effectively alleviate symptoms and reduce preterm delivery risks; its advantages remain controversial. This study aims to assess maternal safety following AR in singleton pregnancies systematically. Methods Databases searched included PubMed, Embase, Scopus, and Web of Science until April 2024. Pregnant patients with singleton pregnancy and polyhydramnios undergo AR included in our study. Statistical analyses were conducted using R software. Results From 574 initially identified articles, seven studies with 390 singleton pregnancies who underwent AR were included. The primary outcomes showed low odds of placental abruption 0.04 (95 % CI: 0.02–0.09, I 2 =12 %) and chorioamnionitis 0.03 (95 % CI: 0.01–0.08, I 2 =0 %). Secondary outcomes indicated a mean gestational age at birth of almost 36 weeks (95 % CI: 35.51–36.41, I 2 =49 %) and low odds of cesarean delivery 0.45 (95 % CI: 0.30–0.61, I2=58 %), preterm delivery within 48 h after AR 0.10 (95 % CI: 0.07–0.15, I 2 =9 %) and PPROM within 48 h after AR 0.03 (95 % CI: 0.02–0.04, I 2 =0 %). Conclusions This study demonstrates that maternal complications are expected to be low following the AR procedure. However, given the lack of evidence for fetal benefit and pregnancy prolongation, future studies should directly compare the effects of AR with expectant management. Additionally, fetal survival is likely influenced more by the underlying fetal diagnosis or the etiology of polyhydramnios rather than AR itself. The current meta-analyses will serve as a guide for shared decision-making, and highlight the need for continued clinical trials powered to establish superiority or benefit with AR for singleton pregnancies.
Related Topics
Concepts
Medicine
Polyhydramnios
Obstetrics
Placental abruption
Odds ratio
Pregnancy
Gestational age
Chorioamnionitis
Meta-analysis
Singleton
Fetus
Internal medicine
Biology
Genetics
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1515/jpm-2024-0605
- https://www.degruyterbrill.com/document/doi/10.1515/jpm-2024-0605/pdf
- OA Status
- diamond
- References
- 33
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409620123
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409620123Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1515/jpm-2024-0605Digital Object Identifier
- Title
-
Amnioreduction safety in singleton pregnancies; systematic review and meta-analysisWork title
- Type
-
reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-04-21Full publication date if available
- Authors
-
Nikan Zargarzadeh, Mohammad Haddadi, May Abiad, Ali Javinani, Eyal Krispin, Scott A. Shainker, Kjersti M. Aagaard, Alireza A. ShamshirsazList of authors in order
- Landing page
-
https://doi.org/10.1515/jpm-2024-0605Publisher landing page
- PDF URL
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https://www.degruyterbrill.com/document/doi/10.1515/jpm-2024-0605/pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://www.degruyterbrill.com/document/doi/10.1515/jpm-2024-0605/pdfDirect OA link when available
- Concepts
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Medicine, Polyhydramnios, Obstetrics, Placental abruption, Odds ratio, Pregnancy, Gestational age, Chorioamnionitis, Meta-analysis, Singleton, Fetus, Internal medicine, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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33Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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