Study of effects of oligohydramnios on perinatal outcome

Authors

  • Aashka M. Mashkaria Department of Obstetrics and Gynecology, Smt N. H. L. Municipal Medical College, SVPIMSR, Ahmedabad, Gujarat, India
  • Babulal S. Patel Department of Obstetrics and Gynecology, Smt N. H. L. Municipal Medical College, SVPIMSR, Ahmedabad, Gujarat, India
  • Akshay C. Shah Department of Obstetrics and Gynecology, Smt N. H. L. Municipal Medical College, SVPIMSR, Ahmedabad, Gujarat, India
  • Shashwat K. Jani Department of Obstetrics and Gynecology, Smt N. H. L. Municipal Medical College, SVPIMSR, Ahmedabad, Gujarat, India
  • Vismay B. Patel Department of Obstetrics and Gynecology, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India
  • Adwait B. Patel Department of Obstetrics and Gynecology, Smt N. H. L. Municipal Medical College, SVPIMSR, Ahmedabad, Gujarat, India
  • Aastha M. Mashkaria Department of Obstetrics and Gynecology, Smt N. H. L. Municipal Medical College, SVPIMSR, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20202342

Keywords:

Amniotic fluid index, Doppler studies, Non-stress test, Oligohydramnios, Perinatal outcome

Abstract

Background: Oligohydramnios has got a noteworthy influence on perinatal outcome. Hence, early detection and its timely management will aid in curtailing of perinatal morbidity and mortality and leading to decreased operative interventions. Therefore, the present study is conducted to look for the effects of oligohydramnios.

Methods: This comparative study was a prospective observational study conducted at study institution. The women were divided into study and control groups based on AFI (amniotic fluid index), 100 cases were selected in each group.

Results: Out of the 200 women, included in the present study, 35% of the patients in the study group had non-reactive non-stress test (NST) while in the control group 7% had it. Caesarean section was performed in 58% of cases in the study group as compared to 30% in the control group. Amongst these, Fetal distress was the most common indication for LSCS (lower segment caesarean section). There were no perinatal deaths in this study.

Conclusions: Based on this study it has been observed that, amniotic fluid index of ≤5 cm was commonly associated with increased LSCS rates, intrauterine growth restriction, non-reactive NST, and abnormal Doppler velocimetry studies. Therefore, every case of oligohydramnios requires to be assessed meticulously. Prompt detection; timely management and treating the underlying condition improve outcome.

References

Manning FA. Antepartum fetal testing: a critical appraisal. Curr Opin Obstet Gynecol. 2009;21(4):348-52.

Chamberlain PF, Manning FA, Morrison I. The relationship of marginal and decreased amniotic fluid volumes to perinatal outcome. Am J Obstet Gynecol. 1984;150(3):245-9.

Bhagat M, Chawla I. correlation of amniotic fluid index with perinatal outcome. Ind J Obstet Gynecol. 2014;64(1):32-5.

Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks gestation. J Reprod Med. 1987;32(7):540-2.

Rutherford SE, Phelan JP, Smith CV, Jacobs N. The four-quadrant assessment of amniotic fluid volume: an adjunct to antepartum fetal heart rate testing. Obstet Gynecol. 1987;70:353-6.

Baron C, Morgan MA, Garite TJ. The amniotic fluid volume assessed intrapartum on perinatal outcome. Am J Obstet Gynecol. 1995;173:167-74.

Kwon JY, Kwon HS, Kim YH, Park YW. Abnormal Doppler velocimetry is related to adverse pregnancy outcomes for the borderline amniotic fluid index in the third trimester. J Obstet Gynecol Res. 2006;32:545-9.

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

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

Bachhav AA, Manjushri W. Low amniotic fluid index at term as a predictor of adverse perinatal outcome. J Obstet Gynecol India. 2014;64(2):120-3.

Ott WJ. Current perspective in antenatally surveillance ultrasound. Rev Obst Gynaecol. 2003;3:1-180.

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

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

Singhal SR, Gupta R, Sen J. Low amniotic fluid index as a predictor of adverse perinatal outcome: an Indian perspective. Clinics Mother Child Health. 2015;12:201.

Mathuriya G, Verma M, Rajpoot S. Comparative study of maternal and fetal outcome between low and normal amniotic fluid index at term. Int J Reprod Contracept Obstet Gynecol. 2017;6:640-4.

Ranjita G, Sandhyarani B. Correlation of Oligohydramnios with Perinatal Outcome. J Med Res Prac. 2017;6(3):93-5.

Bachhav AA, Manjushri W.Low amniotic fluid index at term as a predictor of adverse perinatal outcome. J Obstet Gynecol India.2014;649)-10-3.

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Published

2020-05-27

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Original Research Articles