Maternal and perinatal outcome in oligohydramnios at and after 34 weeks of gestation.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Background: Oligohydramnios is a serious complication that is associated with low birth weight, Meconium aspiration syndrome, severe birth asphyxia, low APGAR score, and also maternal morbidity due to Caesarean section, increased induction rate and instrumental delivery. Early detection and management of oligohydramnios may reduce its adverse perinatal and maternal outcome. Methods: A Hospital-based study was conducted in the department of Obstetrics and Gynaecology, Government General Hospital, Rajiv Gandhi Institute of Medical Sciences, Kadapa (YSR district), Andhra Pradesh. Duration of the study was 18 months i.e, from January 2016 to June 2017. 150 pregnant women of gestational age ≥ 34 weeks satisfying inclusion and exclusion criteria are taken. Results: The incidence of oligohydramnios was found to be more in primigravida (60%) With mean maternal age 23.96±3.92 years. Maternal morbidity is more in primigravida (71.11%). Most common antenatal complication is Hypertensive disorders of pregnancy (25.33%). Most common Indication for Caesarean section is fetal distress (42%). Perinatal outcome showed low birth weight (45%), APGAR score < 7 at 1 min (33%) and 5 min (20%), NICU admission (32%), MAS (5.33%), one still birth and three perinatal death's. Caesarean section rate was 61.33%. Conclusion: Oligohydramnios in the present study was associated with increased maternal and perinatal complications and needs proper antepartum and intrapartum fetal care and intensive fetalsurveillance.
Authors and Affiliations
Dr. G. Parthasaradhi Reddy1, , Dr. P. Pranitha2
Keywords
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- EP ID EP365863
- DOI 10.9790/0853-1702166468
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