Foeto-maternal outcome in oligohydramnios

Authors

  • Jil Karia Department of Obstetrics and Gynaecology, GMERS Medical College and Hospital, Sola, Ahmedabad, Gujarat, India
  • Pallavi Ninama Department of Obstetrics and Gynaecology, GMERS Medical College and Hospital, Sola, Ahmedabad, Gujarat, India
  • Pinal Pateliya Department of Obstetrics and Gynaecology, GMERS Medical College and Hospital, Sola, Ahmedabad, Gujarat, India
  • Ronak Karnavat Department of Obstetrics and Gynaecology, GMERS Medical College and Hospital, Sola, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220174

Keywords:

AFI, APGAR scores, Birth weight, Caesarean delivery, Meconium staining, Oligohydramnios

Abstract

Background: Oligohydramnios is defined as an amniotic fluid index (AFI) of ≤5 cm. AFI is calculated by adding the depth in centimetres of the largest vertical pocket in each of four equal uterine quadrants in ultrasonography. We aimed to evaluate the predictive value of amniotic fluid index (AFI) (≤5 cm) for mode of delivery, associated complications, perinatal outcome, birth weight, meconium staining and APGAR scores.

Methods: This was a prospective study of 100 antenatal women who presented at our antenatal OPD at GMERS Medical College and Civil Hospital, Sola, Ahmedabad, Gujarat with gestational age between 34 and 41 weeks over a 1-year duration from 2020 to 2021. The women’s history was taken, clinical examination done, and AFI was measured, and results were tabulated.

Results: Prevalence was most among the 20-30 age group. Most patients delivered vaginally. Anaemia and gestational hypertension were the most common associated complications. There was no neonatal death in this study. No significant correlation was found between oligohydramnios and low birth weight babies.

Conclusions: Oligohydramnios has a significant correlation with caesarean section for foetal distress and low birth weight babies.

 

References

Phalen JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment using the four-quadrant technique in the pregnancy between 36 and 42 weeks gestation. J Reprod Med. 1987;32:601-4.

Underwood M, Gilbert W, Sherman M. Amniotic fluid: not just fetal urine anymore. J Perinatol. 2005;25:341-8.

Hebbar S, Rai L, Adiga P, Guruvare S. Reference ranges of amniotic fluid index in late third trimester of pregnancy: what should the optimal interval between two ultrasound examinations be? J Pregnancy. 2015;319204.

Fitzsimmons ED, Bajaj T. Embryology, Amniotic Fluid. In: StatPearls Treasure Island (FL): StatPearls Publishing; 2021.

Preboth M. ACOG guidelines on antepartum fetal surveillance. American College of Obstetricians and Gynecologists. Am Fam Physician. 2000;62(5):1184, 1187-8.

Keilman C, Shanks AL. Oligohydramnios. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021

Phelan JP, Ahn MO, Smith CV, Rutherford SE, Anderson E. Amniotic fluid index measurements during pregnancy. J Reprod Med Obstet Gynecol. 1987;32(8):601-4.

Rathod S, Samal SK. Evaluation of maternal and perinatal outcomes of induction in borderline oligohydramnios at term. J Clin Diagn Res. 2017;11(9):QC05-7.

Mashkaria AM, Patel BS, Shah AC, Jani SK, Patel VB, Patel AB, et al. Study of effects of oligohydramnios on perinatal outcome. Int J Reprod Contracept Obstet Gynecol. 2020;9:2525-9.

Sreelakshmi U, Bindu T, Subhashini T. Impact of oligohydramnios on maternal and perinatal outcome: a comparative study. Int J Reprod Contracept Obstet Gynecol. 2018;7(8):3205-11.

Chauhan SP, Sanderson M, Hendrix NW, Magann EF, Devoe LD. Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: a meta-analysis. Am J Obstet Gynecol. 1999;181:1473-8.

Rossi AC, Prefumo F. Perinatal outcomes of isolated oligohydramnios at term and post-term pregnancy: a systematic review of literature with meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2013;169:149-54.

Petrozella LN, Dashe JS, McIntire DD, Leveno KJ. Clinical significance of borderline amniotic fluid index and oligohydramnios in preterm pregnancy. Obstet Gynecol. 2011;117(2 Pt 1):338-42.

Umber A. Perinatal outcome in pregnancies complicated by isolated oligohydramnios at term. Ann King Edward Med Univ. 2009;15:35-7.

Manzanares S, Carrillo MP, González-Perán E, Puertas A, Montoya F. Isolated oligohydramnios in term pregnancy as an indication for induction of labor. J Matern Fet Neonat Med. 2007;20(3):221-4.

Downloads

Published

2022-01-28

Issue

Section

Original Research Articles