A Study of Effect of Oligohydramnios on the Obstetric and Perinatal Outcome
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 11
Abstract
Abstract: The purpose of our study was to evaluate the effect of Oligohydramnios on the obstetric and perinatal outcome. Hospital based prospective observational study. The study was conducted at S.M.B.T. IMS & RC from August 2016 to July 2018. Antenatal patients between 20-42 weeks gestational age diagnosed to have oligohydramnios on ultrasonography, were enrolled for the study. Obstetric, Perinatal outcome & associated antenatal co-morbid maternal and fetal conditions influencing the outcome were studied. All patients were followed till term/termination of pregnancy to study the outcome. 74 patients (prevalence: 3.39%) were diagnosed to have oligohydramnios. Oligohydramnios was associated with antenatal complications like PIH (20.27%), IUGR (24.32%), prolonged pregnancy (10.81%), post term pregnancy (2.70%) and fetal anomalies (6.75%). The rate of LSCS in the oligohydramnios was 55.40%. Oligohydramnios was found to increase the incidence of low birth weight babies, low Apgar score at 1,5 min, admission to NICU & Perinatal mortality. Oligohydramnios increase the risk of operative intervention and adverse perinatal outcomes. Any additional antenatal complication in association with oligohydramnios leads to suboptimal outcome of pregnancy. Severity of oligohydramnios early in pregnancy hampers the pregnancy outcome. Hence, every case with oligohydramnios demands intensive fetal surveillance and proper antepartum and intrapartum care in order to minimize the adverse perinatal outcomes.
Authors and Affiliations
Dr. Amit S. Naik, Dr. Mandeep T. Chadha
Keywords
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