Mode of delivery and perinatal outcome in oligohydramnios
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
To assess the association of adverse perinatal outcome in cases with oligo hydramnios diagnosed antepartum. The results are compared with perinatal outcome of controls with Amniotic fluid index (AFI) 8-18 cms. The study population consisted of 100 antenatal women with gestational age 37 weeks attending the antenatal clinic & labour rooms of this hospital. The AFI was measured by 4 quadrant technique. 50 women with AFI <= 5cms were allotted in the study group and another 50 women with AFI 8-18 cms were included in the control group. Labour was either spontaneous or induced in both study and control groups. Mode of delivery and intra partum complications were noted. At birth neonates were assessed using 5min APGAR. Birth weight was recorded and neonates who were admitted in NICU were followed until discharge. This study suggests oligo-hydramnios, i.e AFI <= 5cms measured by ultrasound is associated with adverse perinatal outcome compared to those with AFI 8-18cms. So, early intervention in the form of induction of labor, close intra partum monitoring and early decision making regarding mode of delivery are the steps to be taken to prevent poor perinatal outcome.
Authors and Affiliations
Dr K Indira, Dr L Arundathi Devi
Keywords
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