Maternal complications and neonatal outcomes in oligohydramnios

Jahanara Rahman; Shahana Pervin

doi:10.18203/2320-1770.ijrcog20220153

Authors

Jahanara Rahman Department of Obstetrics and Gynaecology, Dhaka National Medical College, Dhaka, Bangladesh
Shahana Pervin Department of Obstetrics and Gynaecology, Dhaka National Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220153

Keywords:

Oligohydramnios, Maternal complications, Neonatal outcome

Abstract

Background: Oligohydramnios is a condition of abnormally low amniotic fluid volume which is associated with adverse pregnancy outcomes. The objectives of the study were to find out the prevalence of oligohydramnios, to observe maternal complications associated with oligohydramnios, to detect neonatal morbidities and mortalities in oligohydramnios.

Methods: A cross sectional, descriptive study was carried out in the in-patient department of obstetrics and gynaecology at Dhaka national medical college hospital between March 2016 and February 2017.

Results: In this study 64 women had oligohydramnios among 1240 pregnant mothers admitted for delivery in obstetrics and gynaecology department and prevalence was 5.2%. Sixty six percent occurrence of oligohydramnios was due to premature rupture of membranes. The mean maternal age was 24.82±3.71 years. Maternal infections like, Respiratory tract infection (15%), vaginitis (20%), UTI (31%), hyperpyrexia (7%) and maternal systemic illness like, hypertension and diabetes mellitus were also noticed in 7% and 5% of the population. Majority (71%) of the mothers delivered by caesarian section and of them 31.82% was due to foetal distress. Unfavorable neonatal outcome was noticed as low birth weight (LBW) (28%), respiratory depression (32%), perinatal death (14%) and NICU admission (29%).

Conclusions: No significant association was found between maternal systemic illness and oligohydramnios. Whereas maternal infection was found as a significant factor leading to PROM related oligohydramnios. Occurrence of caesarian sections and unfavourable neonatal outcomes were found high in oligohydramnios.

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References

Brace RA. Physiology of amniotic fluid volume regulation. Clin Obstet Gynecol. 1997;40:280-9.

Locatelli A, Zagarella A, Toso L, Assi F, Ghidini A, Biffi A. Serial assessment of amniotic fluid index in uncomplicated term pregnancies: prognostic value of amniotic fluid reduction. J Matern Neonatal Med. 2004;15:233-6.

Brian M. Pregnancy outcomes after antepartum diagnosis of oligohydramnios at or beyond 34 weeks’ gestation. Am J Obstet Gynecol. 2000;182(4):909-12.

Anna L, Patrizia V, Laura T, Maria V, John C. P, Alessandro G. Perinatal outcome associated with oligohydramnios in uncomplicated term pregnancies. Arch Gynecol Obstetr. 2004;269:130-3.

Biradar KD, Shamanewadi AN. Maternal and perinatal outcome in oligohydramnios: study from a tertiary care hospital, Bangalore, Karnataka, India. Int J Reprod Contracept Obstet Gynecol, 2016;5(7):2291-9.

Cunningham FG, Williams JW. Williams Obstetrics. McGraw-Hill Medical. 2010. Available at: https://www.ncbi.nlm.nih.gov/nlmcatalog/101510655. Accessed on 10 Feb 2020.

Fischer RL. Amniotic fluid: physiology and assessment. Glob Libr Women’s Med. 2009. Available at: https://doi.org/10.3843/GLOWM.10208. Accessed on 10 Feb 2020.

David M. Sherer. A Review of Amniotic Fluid Dynamics and the Enigma of Isolated Oligohydramnios. Am J Perinatol. 2002;19(5):253-66.

Lester Figueroa et al. Oligohydramnios: a prospective study of fetal, neonatal and maternal outcomes in low- middle income countries. Reproductive Health volume. 2020;17:19.

Nabhan AF, Abdelmoula YA. Amniotic fluid index versus single deepest vertical pocket as a screening test for preventing adverse pregnancy outcome. Cochrane Database Syst Rev. 2008;2008(3):CD006593.

Golan A, Lin G, Evron S, Niv D, David M.P. Oligohydramnios: Maternal Complications and Fetal Outcome in 145 Cases. Gynecol Obstet Invest. 1994;37:91-5.

O’Brien JM, Mercer BM, Friedman SA, Sibai BM. Amniotic fluid index in hospitalized hypertensive patients managed expectantly. Obstet Gynecol. 1993;82(2):247-50.

Christine F, Oded L. Does gestational diabetes affect amniotic fluid characteristics? Volume 204, 1 St. Luke’s-Roosevelt Hospital Center, New York, NY. 2011.

Lei H, Xin W, Susan H, Liying Z, Yan R, Weiyuan Z. Delivery modes and perinatal outcomes after diagnosis of Oligohydramnios at term in China. Maternal-Fetal Neonatal Med. 2020;33(14):2408-14.

Jodi S, Lawrence N, Donald DM, Kenneth JL. Correlation between amniotic fluid glucose concentration and amniotic fluid volume in pregnancy complicated by diabetes. Am J Obstet Gynecol. 2000;182(4):901- 4.

Surayapalem S, Cooly V, Salicheemala B. A study on maternal and perinatal outcome in premature rupture of membranes at term. Int J Reprod Contracept Obstet Gynecol. 2017;6(12):5368-72.

Vogel JP, Lee AC, Souza JP. Maternal morbidity and Preterm birth in 22 Low and Middle-income countries: a secondary dataset. BMC pregnancy Childbirth. 2014;14:56.

Gibbs R, Karlan B, Haney A, Nygaard I. Danforth’s obstetrics and gynecology. 10th ed. Philadelphia: Lippincott Williams and Wilkins. 2008.

Gabbe SG, Niebyl JR, Simpson JL. Obstetrics: Normal and problem pregnancies. 5th ed: Ed: Churchill Livingstone. 2007.

Padmaja J, Swarupa K. Maternal and Perinatal Outcome in Premature Rupture of Membranes at Term -Pregnancy. IAIM. 2018;5(4):87-91.