A study on fetal outcome in patients with oligohydramnios

Authors

  • Rooplekha Chauhan Department of Obstetrics and Gynecology, N. S. C. B Medical College, Jabalpur, Madhya Pradesh, India
  • Sonal Sahni Department of Obstetrics and Gynecology, N. S. C. B Medical College, Jabalpur, Madhya Pradesh, India
  • Akanksha Dubey Department of Obstetrics and Gynecology, N. S. C. B Medical College, Jabalpur, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20190302

Keywords:

Amniotic fluid index (AFI), Maximum vertical pocket (MVP), Oligohydramnios

Abstract

Background: There is an association between oligohydramnios and intrauterine growth restriction as well as increased perinatal mortality. Amniotic fluid provides a protected environment for the growing fetus, moderating the fetus against mechanical and biological injury. The objective of the present study was to study the fetal outcome in patients with oligohydramnios between 20 to 42 weeks of pregnancy.

Methods: Prospective study of 87 pregnancies with oligohydramnios was carried in Department of Obstetrics and Gynaecology, NSCB Medical College, Jabalpur from 1st March 2016 to 31stMarch 2017. All women enrolled for the study were subjected to history taking, clinical examination and amniotic fluid index estimation.

Results: Rate of caesarean section was higher in patients with oligohydramnios and higher number of neonates were admitted to the NICU amongst the patients of oligohydramnios.

Conclusions: Oligohydramnios has a significant correlation with adverse perinatal outcome.

References

Bhat S. Study of effect of oligohydramnios on maternal and fetal outcome. Int J Med Dental Sci. 2015;4(1):582-8.

Nazlima N, Fatima B. Oligohydramnios at third trimester and perinatal outcome. Bang J Med Sci. 2012;11(1):33-6.

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 Dent Sci. 2013;2(39):7386-91.

Casey BM, McIntire DD, Bloom SL, Lucas MJ, Santos R, Twickler DM, et al. Pregnancy outcomes after antepartum diagnosis of oligohydramnios at or beyond 34 weeks' gestation. Am J Obstet Gynecol. 2000;182(4):909-12.

Chauhan SP, Doherty DD, Magann EF, Cahanding F, Moreno F, Klausen JH. Amniotic fluid index vs single deepest pocket technique during modified biophysical profile: a randomized clinical trial. Am J Obstet Gynecol. 2004;191(2):661-7.

Magann EF, Chauhan SP, Doherty DA, Magann MI, Morrison JC. The evidence for abandoning the amniotic fluid index in favor of the single deepest pocket. Am J Perinatol 2007; 24(09):549-55.

Nazlima N, Fatima B (2012): Oligohydramnios at third trimester and perinatal outcome; Bang J Med Sci. Obstet Gynecol. 2004;269(1):130-3.

Jun Zhang, James Troendle: Isolated oligohydramnios is not associated with adverse perinatal outcome. Int J Gynaecol Obstet. 2004;111(3):220-5.

Everett FM, Thomas EN: Measurement of amniotic fluid volume- Accuracy of ultrasonography technique. Am J Obstet Gynecol 1992; 167(6):1533-7.

Bangal VB, Giri PA, Sali BM. Incidence of oligohydramnios during pregnancy and its effects on maternal and perinatal outcome. J Pharmaceut Biomed Sci (JPBMS). 2011;12(5):1-4.

Modi JY, Patel RV, Shah PT, Agrawal AG. Fetomaternal outcome in pregnancy with oligohydramnios. Int J Reprod Contracept Obstet Gynecol. 2016;5(11):4037-40.

Krishna Jagatia et al. Maternal and fetal outcome in oligohydramnios : a study of 100 cases. Int J Med Sci Public Health. 2013;2(3):724-7.

Petrozella LN, Dashe JS, McIntire DD, Le veno KJ. Clinical Significance of Borderline Amniotic Fluid Index and Oligohydramnios in Preterm Pregnancy. Obstet Gynecol. 2011;117(2 Pt 1):338.

Jandial C, Gupta S, Sharma S, Gupta M. Peri natal Outcome After Antepartum Diagnosis of Oligohydramnios at or Beyond 34 Weeks of Gestation. JK Sci 2007;9(4):213.

Madhavi K, Rao PC. Clinical Study of oligohydramnios, mode of delivery and perinatal outcome. IOSR Journal of Dental and Medical Sciences. 2015;14(4):6-11.

Chandra PC, Schiavello HJ, Lewandowski MA. Effect or oral and intra venous hydration on oligohydramnios. J Repord Med. 2000;45(4):337- 40.

Sriya R, Singhai S, Perinatal outcome in patients with amniotic fluid index < 5cm. J Obstet Gynaecol India 2001;51:98-100.

Umber A. Perinatal Outcome in Pregnancies Complicated by Isolated Oligohydramnios at Term. Annals of King Edward Medical University. 2009;15:35-7 .

Visvalingam G, Purandare N, Cooley S, Roopnarinesingh R, Geary M. Perinatal outcome after ultrasound diagnosis of anhydramnios at term. J Obstet Gynaecol 2012;32(1):50-3.

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

Ahmad, H., Munim, S. (2009). Isolated oligohydramnios is not an indicator for adverse perinatal outcome. J Pak Med Associat. 2009;59(10):691-4.

Johnson JM, Chauhan SP, Ennen CS, Niederhauser A, Magann EF. A comparison of 3 criteria of oligohydramnios in identifying peripartum complications: a secondary analysis. Am J Obstet Gynecol. 2007;197(2):207-e1.

Garmel SH, Chelmow D Sha et al. Oligohydramnios and appropriately grown fetus. Am J Perinatol 1997; 14(6):359-63.

Guin G, Punekar S, Lele A, Khare S. A prospective clinical study of fetomaternal outcome in pregnancies with abnormal liquor volume. J Obstet Gynaecol India. 2011;61(6):652-5.

Sadovsky Y, Christensen MW: Cord containing amniotic fluid pocket-a useful measurement in the management of oligohydramnios. Obstet Gynecol. 1992; 80 (5):775-7.

Mohamed AH. Pregnancy Outcome among Patients with Oligohydramnios and Suggested Plan of Action. IOSR J Nursing Health Sci.2015;4(5):65-75.

Ghike Sunita, Gayathri Reddy, NW Ghike. Increasing Severity of Oligohydramnios: A Risk Factor for Outcome. J South Asian Fed Obstet Gynaecol. 2013;5(1):8-10.

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Published

2019-01-25

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Original Research Articles