Study of oligohyramnios & its perinatal outcome
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2016, Vol 3, Issue 4
Abstract
Objective: To study and analyse the neonatal outcome and appropriate route of delivery in oligohydramnios of AFI < 5 cm at or beyond 34 weeks gestation. Methods: In this prospective case control study of 50 women (study group) with ultrasound diagnosis of oligohydramnios of AFI < 5 cm at or beyond 34 weeks of gestation was compared with 50 women (control group) with AFI > 5 cm and less than 25 at or beyond 34 weeks matched for age, parity, gestational age. Women with PROM, gestational age < 34 weeks and greater than 40 weeks, congenital anomaly, PIH, multiple gestations were excluded from this study. Pregnancy was assessed with respect to antepartum, intrapartum and neonatal outcome measures. Results: In our study we found that oligohydramnios was associated with increased rate of non reassuring fetal heart rate (20% Vs 4%), labor induction (28% Vs 2%), cesarean delivery (56% Vs 8%), low birth weight (62% Vs 24%), IUGR (18% Vs 2%) and admission to NICU (18% Vs 4%). No difference in occurrence of meconium stained liquor, Apgar score < 7 at 5 minutes was found. There was no neonatal death in the study. Conclusion: Pregnancies with isolated oligohydramnios (AFI <5 cm) at or beyond 34 weeks are associated with increased incidence of fetal distress (non reassuring fetal heart rate), caesarean delivery, and low birth weight. Induction of labor was associated with increased rate of caesarean section for fetal distress. No appropriate route of delivery can be recommended for isolated oligohydramnios.
Authors and Affiliations
Fatima Zahra Shaik Mohammed, Juveria Jahangir
Keywords
Related Articles
- EP ID EP241913
- DOI -
- Views 120
- Downloads 0
Perinatal outcome in cases of borderline oligohydramnios
Introduction Oligohydramnios is associated with intrauterine growth restriction congenital anomaly neonatal and maternal morbidities The outcome in cases of borderline oligohydramnios is less clear This study was perform...
Gestational age determination by ultrasonic placental thickness measurement
Introduction: Gestational age is frequently estimated based on last menstrual period and on ultrasonography. Many people are unaware of their last menstrual period due to irregular menstruation and ultrasonography is bou...
Heaney,s hysterectomy for benign pathological conditions of uterus at tertiary care hospital in southern India
Introduction Hysterectomy is one of the commonly performed gynaecological surgery Vaginal hysterectomy is a natural orifice surgery where as laparoscopic hysterectomy is a minimally invasive procedure Vaginal hysterectom...
Quantitative fluorescent PCR (QF-PCR) for prenatal diagnosis of fetal aneuploidy: Indian experience
Introduction Prenatal diagnosis of fetal chromosomal aneuploidies has traditionally relied on cytogenetics In recent times QFPCR to detect the common aneuploidies has been reported In view of the paucity of Indian experi...
Evaluation of efficacy, safety and cost effectiveness of oral iron and injectable iron sucrose and ferric carboxy maltose in pregnant women in 2nd and 3rd trimester in anaemia
Objective: To compare the efficacy safety and cost effective of oral iron and injectable iron sucrose and FCM in pregnancy in 2nd and 3rd trimester. Methods: A prospective randomised control trial study in 300 women with...