A Study on Perinatal Outcome in Term Oligohydramnios
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Background: Amniotic fluid acts like a protection wall for fetus and also provides essential nutrients to fetus. Oligohydramnios, that is too little amniotic fluid, is associated with high rate of maternal and perinatal morbidity and mortality. Amniotic fluid index assessed antepartum help inidentifying women who need increased antenatal surveillance for pregnancycomplication. Objective of the study: To assess and compare the perinatal outcome in AFI <5 cm (oligohydramnios) and AFI >5 cm (control group) in term pregnancies. Materials and Methods: A total of 100 patients admitted in obstetrics emergency ward were grouped as cases (AFI <5 cm; n=50) and controls (AFI >5 cm; n=50). Inclusion criteria included single live intrauterine gestation with cephalic presentation, 37 completed weeks of gestation and intract membrane. Various outcomes recorded were induced versus spontaneous labour, nature of amniotic fluid, non-stress test, mode of delivery, indication of caesarean section or instrumental delivery, Apgar score at 1 minute and 5 minutes, birth weight, admission to neonatal ward, perinatal morbidity and mortality. Babies were followed till 7 days after birth. Results: The induced labour, non-reactive NST, caesarean section rate due to fetal distress, Still birth, Neonatal death, low birth weight and NICU admission were significantly high among those with AFI<5cm than those with AFI≥5cm. Conclusion: Oligohydramnios is associated with increased pregnancy interventions in the form of induction of labour and caesarean delivery, intrauterine deaths and non-reactive fetal heart. There is also an increased neonatal morbidity and perinatal mortality.
Authors and Affiliations
Dr. Bharti Nancy, Dr. Mirza Robina, Dr. Kumar Surender, Dr. Khajuria Reema, Dr. Salgotra Manjula
Keywords
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- EP ID EP572467
- DOI 10.9790/0853-1804058390.
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