Amniotic fluid volume regulation


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Abstract

Objective. To analyze the data available in the present-day literature on procedures to estimate amniotic fluid (AF) volume (AFV) and on the mechanisms of its regulation. Materials and methods. The review included the papers published in the past 10 years from the databases of medical and biological publications of the National Center for Biotechnology Information and the United States National Library of Medicine (Pubmed) on this topic. Results. The procedures for estimation of AFV (its direct inert dye-determination and ultrasonic assessment of the maximal vertical pocket and AF index), ways of formation and removal of AF, as well as the mechanisms of its regulation (the significance of vascular endothelial growth factor and aquaporins) were described. Conclusion. The current methods to determine AFV are diagnostically important only when the AFV changes are moderate. In recent years, the main ways of AF formation and removal have been established, but the interaction of osmotic and hydrostatic pressures with para- and endocrine factors in the regulation of AFV calls for further investigation.

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About the authors

Yuri V. Korenovsky

Altai State Medical University, Ministry of Health of Russia

Email: timidin@gmail.com
PhD, assistant professor of biochemistry and clinical laboratory diagnostics

Irina A. Kalitnikova

Altai State Medical University, Ministry of Health of Russia

Email: kalitnikova_ia@mail.ru
Assistant of the Department of Biochemistry and Clinical Laboratory Diagnostics

Snezhana I. Buryakova

Perinatal (Clinical) Center of the Altai Territory

Email: snezhanaburyakov@mail.ru
postgraduate student of the Department of Obstetrics and Gynecology № 1; doctor of ultrasonic diagnostics, obstetrician-gynecologist

Anna V. Popovtseva

Altai State Medical University, Ministry of Health of Russia

Email: popovceva@gmail.com
Assistant of the Department of Biochemistry and Clinical Laboratory Diagnostics

Egor V. Suzopov

Altai State Medical University, Ministry of Health of Russia

Email: suzopov1egor@gmail.com
4th year student of Medical Faculty

Larisa E. Obukhova

Altai State Medical University, Ministry of Health of Russia

Email: lirisse@yandex.ru
PhD, assistant professor of biology

Tatiana V. Burkova

Altai State Medical University, Ministry of Health of Russia

Email: viderkertanya@mail.ru
graduate student of the Department of Obstetrics and Gynecology № 1

Natalia I. Barsukova

Altai State Medical University, Ministry of Health of Russia

Email: nata-barsukova@yandex.ru
PhD, Associate Professor, Department of Histology

Olga V. Remnyova

Altai State Medical University, Ministry of Health of Russia; Perinatal (Clinical) Center of the Altai Territory; Perinatal (Clinical) Center of the Altai Territory

Email: rolmed@yandex.ru
Ph.D., Professor, Department of Obstetrics and Gynecology № 1; doctor of ultrasonic diagnostics, obstetrician-gynecologist

Natalya I. Fadeeva

Altai State Medical University, Ministry of Health of Russia

Email: nat2fad@hotmail.com
MD, Professor, Head of the Department of Obstetrics and Gynecology № 1

References

  1. Choi S.R. Borderline amniotic fluid index and perinatal outcomes in the uncomplicated term pregnancy. J. Matern. Fetal Neonatal Med. 2016; 29(3): 457-60.
  2. Magann E.F., Sandlin A. T., Ounpraseuth S. T. Amniotic fluid and the clinical relevance of the sonographically estimated amniotic fluid volume: oligohydramnios. J. Ultrasound Med. 2011; 30(11): 1573-85.
  3. Brace R.A., Cheung C.Y. Regulation of amniotic fluid volume: evolving concepts. Adv. Exp. Med. Biol. 2014; 814: 49-68.
  4. Magann E.F., Bass J.D., Chauhan S.P., Young R.A., Whitworth N.S., Morrison J.C. Amniotic fluid volume in normal singleton pregnancies. Obstet. Gynecol. 1997; 90(4, Pt1): 524-8.
  5. Moise K.J. Jr. Toward consistent terminology: assessment and reporting of amniotic fluid volume. Semin. Perinatol. 2013; 37(5): 370-4.
  6. Morris R.K., Meller C.H., Tamblyn J., Malin G.M., Riley R.D., Kilby M.D. et al. Association and prediction of amniotic fluid measurements for adverse pregnancy outcome: systematic review and meta-analysis. BJOG. 2014; 121 (6): 686-99.
  7. Morin L., Lim K. Ultrasound in twin pregnancies. J. Obstet. Gynaecol. Can. 2011; 33(6): 643-56.
  8. Vos F.I., De Jong-Pleij E.A., Ribbert L.S., Tromp E., Bilardo C.M. Threedimensional ultrasound imaging and measurement of nasal bone length, prenasal thickness and frontomaxillary facial angle in normal second- and third-trimester fetuses. Ultrasound Obstet. Gynecol. 2012; 39(6): 636-41.
  9. Jang P.R., Brace R.A. Amniotic fluid composition changes during urine drainage and tracheoesophageal occlusion in fetal sheep. Am. J. Obstet. Gynecol. 1992; 167(6): 1732-41.
  10. Brace R.A., Anderson D.F., Cheung C.Y. Ovine fetal swallowing responses to polyhydramnios. Physiol. Rep. 2014; 2(3): e00279.
  11. Brace R.A. Progress toward understanding the regulation of amniotic fluid volume: water and solute fluxes in and through the fetal membranes. Placenta. 1995; 16(1): 1-18.
  12. Brace R.A. Amniotic fluid volume and its relationship to fetal fluid balance: review of experimental data. Semin. Perinatol. 1986; 10(2): 103-12.
  13. Manikandan K., Raghavan S. Amniotic fluid volume changes in response to frusemide induced maternal fluid shifts. J. Pharmacol. Pharmacother. 2014; 5(2): 153-4.
  14. Yancey M.K., Richards D.S. Effect of altitude on the amniotic fluid index. J. Reprod. Med. 1994; 39(2): 101-4.
  15. Davis L.E., Hohimer A.R., Woods L.L. Renal function during chronic anemia in the ovine fetus. Am. J. Physiol. 1994; 266(6, Pt2): R1759-64.
  16. Cheung C.Y. Vascular endothelial growth factor activation of intramembra-nous absorption: a critical pathway for amniotic fluid volume regulation. J. Soc. Gynecol. Investig. 2004; 11(2): 63-74.
  17. Hua Y., Jiang W., Zhang W., Shen Q., Chen M., Zhu X. Expression and significance of aquaporins during pregnancy. Front. Biosci. (Landmark Ed). 2013; 18: 1373-83.
  18. Liu H., Zheng Z., Wintour E.M. Aquaporins and fetal fluid balance. Placenta. 2008; 29(10): 840-7.
  19. Magann E.F., Sanderson M., Martin J.N., Chauhan S. The amniotic fluid index, single deepest pocket, and two-diameter pocket in normal human pregnancy. Am. J. Obstet. Gynecol. 2000; 182(6): 1581-8.
  20. Gonen T., Walz T. The structure of aquaporins. Q. Rev. Biophys. 2006; 39(4): 361-96.
  21. Sha X.Y., Xiong Z.F., Liu H.S., Di X.D., Ma T.H. Maternal-fetal fluid balance and aquaporins: from molecule to physiology. Acta Pharmacol. Sin. 2011; 32(6): 716-20.
  22. Damiano A.E. Review: water channel proteins in the human placenta and fetal membranes. Placenta. 2011; 32(Suppl.2): S207-11.
  23. Zhu X.Q., Jiang S.S., Zhu X.J., Zou S.W., Wang Y.H., Hu Y.C. Expression of aquaporin 1 and aquaporin 3 in fetal membranes and placenta in human term pregnancies with oligohydramnios. Placenta. 2009; 30(8): 670-6.
  24. Baird R., Wintour E.M. Placentae with haemophagous zones and water channel proteins: a cautionary tale. Placenta. 2000; 21(5-6): 587-8.
  25. Mann S.E., Ricke E.A., Yang B.A., Verkman A.S., Taylor R.N. Expression and localization of aquaporin 1 and 3 in human fetal membranes. Am. J. Obstet. Gynecol. 2002; 187(4): 902-7.
  26. Belkacemi L., Beall M.H., Magee T.R., Pourtemour M., Ross M.G. AQP1 gene expression is upregulated by arginine vasopressin and cyclic AMP agonists in trophoblast cells. Life Sci. 2008; 82(25-26): 1272-80

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