Study of Maternal and Foetal Outcome in Normal term Pregnancy with Isolated Oligohydramnios
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 6
Abstract
Objectives: To study the maternal and foetal outcome in normal term pregnancy with isolated oligohydramnios. Methods: This was a prospective study conducted in the department of obstetrics and gynaecology at BGS Global Medical college, Bangalore over a period of one year from January 2015 to December 2015. A total of 100 patients of gestational age >37 weeks matched for age and parity were studied, of which the study group had 50 women with an AFI less than 5 and the control group had 50 women with an AFI more than 5 .The mode of delivery and the perinatal outcome was compared between the two groups. Chi square test was used for statistical analysis. Results: Non stress test (NST) was reassuring in 39 patients (78%) in the study group and 46 patients (92%) in the control group (p value <0.05) and was found to be statistically significant. In the study group, 16 of the 50 patients (32%) had normal vaginal delivery, 9 patients (18%) had instrumental delivery and 25 patients (50%) underwent caesarean section, whereas 34 of the 50 patients (68%) had normal vaginal delivery, 2 patients (4%) had instrumental delivery and 14 patients (28%) delivered by caesarean section in the control group (p value <0.05). This difference was statistically significant. Apgar score <7 was seen in 9 patients (18%) win the study group and in 6 patients (12%) in the control group (p value >0.05). The difference was not statistically significant. 22 babies (44%) in the study group had birth weight <2.5 kg, whereas 10 babies (20%) in the control group had birth weight <2.5 kg (p value <0.05). This difference was statistically significant. 6 babies in the study group (12%) were admitted to the neonatal intensive care unit (NICU), whereas 4 babies (8%) in the control group had NICU admission (p value >0.05). The difference was not statistically significant. All the babies were stable at the time of discharge. There were no babies needing ventilatory support and no perinatal deaths in either the study or control groups. Conclusion: Isolated oligohydramnios without any complicating factor is not associated with adverse perinatal outcome, though the babies may have a lower birth weight
Authors and Affiliations
Dr Chaitra Ramachandra
A Comparison between effectiveness and safety of endotracheal tube cuff filled with air, plain lignocaine and alkalinized lignocaine for postoperative sore throat and emergence phenomena
Aim: The aim of this study was to evaluate the effectiveness and safety of endotracheal tube cuffs filled with air, plain lignocaine and alkalinized lignocaine during general anesthesia and evaluate clinical symptoms suc...
Study of Etiological Causes of New Onset Seizure with Special Reference to Types of Seizure
INTRODUCTION: Etiological spectrum of acute symptomatic seizures in developing countries is different from developed countries. The major etiological risk factors were central nervous system (CNS) infections (32%), metab...
Treatment of Rectal Mucosal Prolapse with Radiofrequency Ablation and Plication - A New Surgical Technique
Background: This study was designed to assess the outcome of using a new technique of mucosal ablation using a radiofrequency device followed by its plication for rectal mucosal prolapse and to compare its results with t...
Clinical Profile of Acute Encephalitis Syndrome in Children with Special Reference to Japanese Encephalitis in a Tertiary Care Teaching Hospital of Upper Assam
Background: The north eastern region of India is an endemic area for viral encephalitis that clinically presents as acute encephalitis syndrome (AES). The Japanese Encephalitis (JE) is an acute mosquito-borne viral disea...
Isolated Medial Rectus Palsy as a Presentation of Midbrain Infarct
Isolated ocular muscle palsy involving lateral rectus and superior oblique is very common due to individual nerve supply but isolated palsy of the remaining four ocular muscles is a very rare condition and most of the re...