Fetomaternal outcome in cases of oligohydramnios after 28 weeks of pregnancy

Veena Vidyasagar, Nimmi Chutani

Abstract


Background: Aim of current study was to study the fetomaternal outcome in cases of oligohydramnios admitted in the labour room for delivery.

Methods: A prospective hospital based study was conducted at Sharda hospital, school of medical sciences and research, Sharda University, Greater Noida. The study was undertaken over a period of two years from April 2012 to March 2014. Cases of oligohydramnios (AFI ≤5 cm) detected ultrasonographically at the time of admission in labour room were included in the study. The inclusion criteria for the purpose were: 28 completed weeks of gestation with singleton live pregnancy, intact membranes and no foetal anomalies. Data regarding bio-social characteristics, maternal and perinatal outcome were collected and results were analysed. 40 cases (with similar age and parity profile, as study cases) were taken as control.

Results: There were 1342 deliveries during the study period. 41 cases were detected to have oligohydramnios. Majority of the cases (80.49%) in the study group belonged to the age group of 20-30 years. Incidence of associated maternal and foetal complications was higher in cases with oligohydramnios. Perinatal mortality was 9.76%. Fetal heart rate abnormalities were observed in 19.51% cases at the time of admission. Low Apgar score was seen in 19.51% neonates and 36.59% neonates were admitted in NICU.

Conclusions: Oligohydramnios is being detected more often these days, due to routinely performed obstetric ultrasonography. In the present study, cases with AFI of ≤5 presenting for delivery (after 28 weeks of gestation), were studied. Babies were relatively more prone for complications.


Keywords


Maternal outcome, Perinatal outcome, Oligohydramnios, AFI ≤5 cm

Full Text:

PDF

References


Vidyadhar B. Bangal, Purushottam A. Giri, Bhushan M. Sali. Incidence of oligohydramnios during pregnancy and its effects on maternal and perinatal outcome. J Pharmaceut Biomed Sci (JPBMS). 2011;12(12):1-4.

Rainford M, Adair R, Scialli AR, Ghidini A, Spongy CY. Amniotic fluid index in the uncomplicated term pregnancy. Prediction of outcome. J Reprod Med. 2001;46:589-92.

Ott WJ. Re-evaluation of the relationship between amniotic fluid volume and perinatal outcome. Am J Obstet Gynaecol. 2005;192:1803-9.

Chauhan SP, Hendrix NW. Intrapartum oligohydramnios does not predict adverse peripartum outcome among high risk parturient. Am J Obstet Gynaecol. 1997;176(6):1130-6.

Jun Zhang, James Troendle. Isolated oligohydramnios is not associated with adverse perinatal outcome. Int J Gynaecol Obstet. 2004 Mar;3:220-5.

Everett FM, Thomas EN. Measurement of amniotic fluid volume - accuracy of ultrasonography technique. Am J Obstet Gynaecol. 1992;167:1533-7.

Casey Brian M, Donald D. McIntire. Pregnancy outcomes after antepartum diagnosis of oligohydramnios at or beyond 34 weeks’ gestation. Am J Obstet Gynaecol. 2000 Apr;182(4):909-12.

Golan A, Lin G. Oligohydramnios - maternal complications and fetal outcome in 145 cases. Gynaecol Obstet Invest. 1994;37(2):91-5.

Mercer Lane, L.G. Brown. A survey of pregnancies complicated by decreased amniotic fluid. Am J Obstet Gynaecol. 1984;149:355-61.

Desai P, Patel P, Gupta A. Decreased amniotic fluid index in low risk pregnancy: any significance? J Obstet Gynaecol Int. 2004 Sep;54(5):464-6.

Locatelli A, Vergani P, Toso L, Verderio M, Pezzullo JC, Ghidini A. Perinatal outcome associated with oligohydramnios in uncomplicated term pregnancies. Arch Gynaecol Obstet. 2004;269(2):130-3.

Chhabra S, Dargan R. Oligohydramnios - a potential marker for serious obstetric complications. J Obstet Gynaecol. 2007 Oct;27(7):680-3.

Wolff F, Schaefer R. Oligohydramnios-perinatal complications and diseases in mother and child. Geburtshilfe Frauenheilkd. 1994 Mar;54(3):139-43.

Apel-Sarid L, Levy A, Holcberg G, Sheiner E. Placental pathologies associated fetal growth restriction; complicated with and without oligohydramnios. Arch Gynaecol Obstet. 2009 Oct;280(4):549-52.

Bhagat M, Chawla I. Correlation of amniotic fluid index with perinatal outcome. J Obstet Gynaecol India. 2014 Jan-Feb;64(1):32-5.

Chandra P, Kaur SP, Hans DK, Kapila AK. The impact of amniotic fluid volume assessed intrapartum on perinatal outcome. Obstet Gynaecol. 2000;5(8):478-81.

Manning FA. General principles and applications of ultrasonogrphy. In: Creasy RK, Resnik R, Iams JD, eds. Maternal-Fetal Medicine; Principles and Practice. Philadelphia: Saunders; 2003: 315-355.

Browen-Chatoor JS, Kulkarni SK. Amniotic fluid index in the management of postdates pregnancy. West Indian Med J. 1995 Jun;44(2):64-6. Chamberlin PF, Manning FA, Morrison I, Harman CR, Lange IR. Ultrasound evaluation of amniotic fluid volume. The relationship of marginal and decreased amniotic fluid volume to perinatal outcome. Am J Obstet Gynaecol 1984;150:245.

Phelan JP, Smith CV, Small M. Amniotic fluid volume assessment with four quadrant technique at 36-42 weeks of gestation. J Repod Med. 1987;32:540-2.

Chate P, Khatri M, Hariharan C. Pregnancy outcome after diagnosis of oligohydramnios at term. Int J Reprod Contracept Obstet Gynaecol. 2013 Mar;2(1):23-6.

Chamberlain PF, Manning FA, Morrison I, Harman CR, Lange IR. Ultrasound evaluation of amniotic fluid volume. Am J Obstet Gynaecol. 1984;150:245-9.

Chamberlain PF, Manning FA, Morrison I, Harman CR, Lange IR. Ultrasound evaluation of amniotic fluid volume II the relationship of increased amniotic fluid volume to perinatal outcome. Am J Obstet Gynaecol. 1984;150:250-4.

Banks EH, Miller DA. Perinatal risks associated with borderline AFI. Am J Obstet Gynaecol. 1999;18:1461-3.

Casey BM. Pregnancy outcomes after antepartum diagnosis of oligohydramnios at or beyond 34 weeks’ gestation. Am J Obstet Gynaecol. 2000;182:909-12.

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