Study of effect of oligohydramnios on maternal and perinatal outcomes in tertiary care center-hospital based cross-sectional study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20251223Keywords:
Oligohydramnios, Delivery mode, Neonatal outcomeAbstract
Background: Oligohydramnios is described as a condition with decreased amniotic fluid volume relative to gestational age. The amniotic fluid (AF) is a part of the fetal life support system. Oligohydramnios was defined as amniotic fluid index (AFI) ≤5 (or less than the 5th percentile) or single vertical pocket less than 1 cm. With the help of method of amniotic fluid volume estimation by Phelan AFI method, using four quadrant techniques during transabdominal USG, helps in detecting oligohydramnios and foetuses at high risk.
Methods: 45 pregnant women presented with oligohydramnios to our hospital, a tertiary care centre at Bagalkot, from April 2023 to October 2023. Maternal and perinatal characteristics were retrieved from case papers.
Results: Of 45 cases of oligohydramnios, more than 50% underwent caesarean section, due to various causes. 44 cases had live born and 1 was still born due to prematurity. 15 cases (33%) were preterm at the time of presentation, whereas 21 cases (67%) were term at presentation. Of 45 cases, 21 cases required NICU admission, among them 10 were due to prematurity and IUGR component.
Conclusions: With this study we can conclude that oligohydramnios predisposes to raising caesarean rates, preterm delivery and NICU admission. Further research on large scale with larger sample and multicentric approach, follow up is required to predict the perinatal outcome in future.
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References
Patil SV, Shaikmohammed FZ. Study of Oligohydramnios and its perinatal outcome. Int J Reprod Contracept Obstet Gynecol. 2019;8(7):2705. DOI: https://doi.org/10.18203/2320-1770.ijrcog20193029
Ahmar R, Parween S, Kumari S, Kumar M. Neonatal and maternal outcome in oligohydramnios: a prospective study. Int J Contemp Pediatr. 2018;5(4):1409-3. DOI: https://doi.org/10.18203/2349-3291.ijcp20182537
Biradar K, Shamanewadi A. 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. DOI: https://doi.org/10.18203/2320-1770.ijrcog20162113
Moore TR. Clinical assessment of amniotic fluid. Clin Obstet Gynaecol. 1997;40(2):303-13. DOI: https://doi.org/10.1097/00003081-199706000-00007
Beall MH, van den Wijngaard JP, van Gemert MJ, Ross MG. Regulation of amniotic fluid volume. Placenta. 2007;28(8-9):824-32. DOI: https://doi.org/10.1016/j.placenta.2006.12.004
Patrelli TS, Gizzo S, Cosmi E, Carpano MG, Di Gangi S, Pedrazzi G et al. Maternal hydration therapy improves the quantity of amniotic fluid and the pregnancy outcome in third-trimester isolated oligohydramnios: a controlled randomized institutional trial. J Ultrasound Med. 2012;31(2):239-44. DOI: https://doi.org/10.7863/jum.2012.31.2.239
Sherer DM. A review of amniotic fluid dynamics and the enigma of isolated oligohydramnios. Am J Perinatol. 2002;19:253-66. DOI: https://doi.org/10.1055/s-2002-33084
Ghosh R, Oza H, Padhiyar B. Maternal and fetal outcome in oligohydramnios: study from a tertiary care hospital, Ahmedabad, India. Int J Reprod Contracept Obstet Gynecol. 2018;7:907-10. DOI: https://doi.org/10.18203/2320-1770.ijrcog20180864
Sreelakshmi U, Bindu T, Subhashini T. Impact of oligohydramnios on maternal and perinatal outcome: a comparative study. Int J Reprod Contracept Obstet Gynecol. 2018;7:3205-10. DOI: https://doi.org/10.18203/2320-1770.ijrcog20183318
Hangarga US, Kulkarni VG, Nikitha. A clinical study of mode of delivery and perinatal outcome in oligohydrominos. Int J Reprod Contracept Obstet Gynecol. 2017;6:2212-5. DOI: https://doi.org/10.18203/2320-1770.ijrcog20172002
Sriya R, Singhai S, Rajan M, Sharma M, Nagpal P. Perinatal outcome in patients with amniotic fluid index ≤5 cm. J Obstet Gynecol India. 2001;51(5):98-100.
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