Fetomaternal Outcome in Induction of Labor in Third Trimester Oligohydroamnios Pregnancies.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 1
Abstract
Introduction: Amniotic fluid is a clean and slightly yellowish liquid surrounding the fetus in the uterus. Oligohydroamnios is defined as when Amniotic Fluid Index - AFI is less than 5th percentile or cumulative 4 quadrant AFI <5cm or maximum vertical pocket <2cm. Too little amniotic fluid can cause an early indication of problem for the mother and the baby. It is associated with meconium staining of liquor, fetal heart conduction abnormalities, umbilical cord compression, poor tolerance of labor, low APGAR score and fetal acidosis. It is one of the major cause of ANC surveillance and induction of labor. Objective: To study feto - maternal outcome in induction of labor in term pregnancies with oligohydroamnios. Materials And Methods: This was a hospital based study on 100 antenatal patients, who underwent ultrasound examination and doppler examination to confirm oligohydroamnios. Various outcome measures were recorded and analysed after induction of labor in the third trimester. Results: Out of 100 cases which are taken 40 patients (40%) had AFI <5cm while the rest 60% had AFI between 5-7cm. PGE2(prostaglandin E2) was preferred mode for induction in 65% of women. Augmentation was required in 37% of cases out of which 10 patients had caesarean section. Mode of delivery was vaginal delivery in 60% of patients (60/100) out of which 23 patients had AFI <5cm and 37 patients had AFI between 5-7cm, while others 40 (40%) of women had caesarean section. Total 7% babies had NICU admission with single IUD (intrauterine death)(1%) and 1% still birth. Conclusion: Oligohydroamnios is proxy for chronic hypoxia and utero-placental insufficiency and demands delivery. Decision regarding time and mode of delivery should be taken with optimal fetal and maternal monitoring.
Authors and Affiliations
Dr. Baishali Jain
Keywords
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