Impact of oligohydramnios on maternal and perinatal outcome: a comparative study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20183318Keywords:
Amniotic fluid index, Non stress test, Oligohydromnios, Perinatal outcomeAbstract
Background: Oligohydramnios has got significant impact on perinatal outcome and maternal morbidity. Therefore, early detection and its management will help in reduction of perinatal morbidity and mortality, decreased operative interventions. Hence, the present study is undertaken to study the impact of oligohydromnios on perinatal-maternal outcome.
Methods: The present study was prospective comparative observational study conducted in the Department of Obstetrics and Gynaecology, Mallareddy Narayana Multispecialty Hospital, reputed teaching hospital from January 2015 to August 2017. The women were divided into study and control groups based on AFI, 100 cases were selected in each group.
Results: Out of the 200 women, included in the present study, in study group AFI <5 cm was present in 51% of patients and AFI 5-8 cm in 49% of patients. Doppler abnormalities found in study group (n = 33). 32% of the patients in study group had non-reactive NST while in control group 8%. Caesarean section was performed in 70% of cases in study group as compared to 9% in control group. Foetal distress was the most common indication for LSCS. There were no perinatal deaths in this study.
Conclusions: In this study amniotic fluid index of ≤5 cm was commonly associated with increased cesarean section rates, intrauterine growth restriction, Non-reactive NST and abnormal umbilical artery Doppler velocimetry studies. Hence, every case of oligohydramnios needs to be evaluated carefully, early detection and initiation of appropriate treatment and treat the cause if possible.
References
Manning FA. Antepartum fetal testing: a critical appraisal. Curr Opin Obstet Gynecol. 2009;21(4):348-52.
Chamberlain PF, Manning FA, Morrison I. The relationship of marginal and decreased amniotic fluid volumes to perinatal outcome. Am J Obstet Gynecol. 1984;150(3):245-9.
Bhagat M, Chawla I. correlation of amniotic fluid index with perinatal outcome. Ind J Obstet Gynecol. 2014;64(1):32-5.
Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks gestation. J Reprod Med. 1987;32(7):540-2.
Rutherford SE, Phelan JP, Smith CV, Jacobs N. The four-quadrant assessment of amniotic fluid volume: an adjunct to antepartum fetal heart rate testing. Obstet Gynecol. 1987;70:353-6.
Baron C, Morgan MA, Garite TJ. The amniotic fluid volume assessed intrapartum on perinatal outcome. Am J Obstet Gynecol. 1995;173:167-74.
Kwon JY, Kwon HS, Kim YH, Park YW. Abnormal Doppler velocimetry is related to adverse pregnancy outcome for borderline amniotic fluid index in the third trimester. J Obstet Gynecol Res. 2006;32:545-9.
Nath J, Jain M, Najam R. A clinical study on oligohydramnios in the third trimester of pregnancy with special emphasis on the perinatal outcome. J Evol Med Dental Sci. 2013;2(39):7386-91.
Bangal VB, Giri PA, Sali BM. Incidence of oligohydramnios during pregnancy and its effects on maternal and perinatal outcome. JPBMS. 2011;12(5):1-4.
Bachhav AA, Manjushri W. Low amniotic fluid index at term as a predictor of adverse perinatal outcome. J Obstet Gynecol India. 2014;64(2):120-3.
Ott WJ. Current perspective in antenatally surveillance ultrasound. Rev Obst Gynaecol. 2003;3:1-180.
Mathuriya G, Verma M, Rajpoot S. Comparative study of maternal and fetal outcome between low and normal amniotic fluid index at term. Int J Reprod Contracept Obstet Gynecol. 2017;6:640-4.
Kaur P, Desai DA, Taraiya A. A study on the perinatal outcome in cases of oligohydramnios. Int J Reprod Contracept Obstet Gynecol. 2016;5:98-109.
Chate P, Khatri M, Hariharan C. Pregnancy outcome after diagnosis of oligohydramnios at term. Int J Reprod Contracept Obstet Gynecol. 2013;2:23-6.
Chandra P, Kaur SP, Hans DK, Kapila AK. The impact of amniotic fluid volume assessed intrapartum on perinatal outcome. Obstet Gynae Today. 2000;5(8):478-81.
Vidyasagar V, Chutani N. Fetomaternal outcome in cases of oligohydramnios after 28 weeks of pregnancy. Int J Reprod Contracept Obstet Gynecol 2015; 4: 152-6.
Singhal SR, Gupta R, Sen J. Low amniotic fluid index as a predictor of adverse perinatal outcome: an indian perspective. Clinics Mother Child Health. 2015;12:201.
Ranjita G, Sandhyarani B. Correlation of Oligohydramnios with Perinatal Outcome. J Med Res Prac. 2017;6(3):93-5.
Chaudhary R, Dhama V, Singh S, Singh M. Correlation of reduced amniotic fluid index with neonatal outcome. Int J Reprod Contracept Obstet Gynecol. 2017;6:2401-6.
Bhagat M, Chawla I. correlation of amniotic fluid index with perinatal outcome. Ind J Obstet Gynecol. 2014;64(1):32-5.
Sultana S, Khan AMN, Akhtar KKA, Aslam M. Low amniotic fluid index in high-risk pregnancy and poor apgar score at birth. J Coll Physicians Surg Pak. 2008;18:630-4.
Kaur P, Desai DA, Taraiya A. A study on the perinatal outcome in cases of oligohydramnios. Int J Reprod Contracept Obstet Gynecol. 2016;5:98-109.
