Perinatal outcome associated with oligohydramnios at term
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20203546Keywords:
Amniotic fluid index <5 cm, Oligohydramnios, Perinatal outcomeAbstract
Background: Oligohydramnios is a severe and common complication of pregnancy and its incidence is reported to be around 1 to 5% of total pregnancies. The aim of this study was to perinatal outcome of oligohydramnios (AFI <5) at term.
Methods: A prospective study was conducted in which 200 patients at term with oligohydramnios AFI <5 cm with intact membranes were analyzed for perinatal outcome.
Results: There were increased chances of FHR decelerations, thick meconium, increased LSCS, low Apgar score at 5 minutes, birth weight <2.5 kg, admission to NICU in pregnancy with oligohydramnios.
Conclusions: An amniotic fluid index (AFI) of <5 cm detected after 37 completed weeks of gestation is an indicator of poor perinatal outcome. Determination of AFI can be used as an adjunct to other fetal surveillance methods that helps to identify those infants at risk of poor perinatal outcome.
References
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.
Dutta DC. Textbook of obstetrics, 8th edition; 2015:43-44:250-251.
Zhang J, Troendle J, Meikle S, Klebanoff MA, Rayburn WF. Isolated oligohydramnios is not associated with adverse perinatal outcomes. Br J Obstet Gynaecol. 2004;111(3):220-5.
Bansal D, Deodhar P. A clinical study of maternal and perinatal outcome in oligohydramnios. J Res Med Den Sci. 2015;3(4):312-6.
Williams Obstetrics. Cunningham FG, Gant NF, Leveno KJ, Gilstrap LC III, Hauth JC, Wenstrom KD: 21st Edition USA; McGraw Hill. Fetal Growth and Development. Chapter 7; 2003: 142-143.
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 of gestation. Am J Obstet Gynecol. 2000;182(4):909-12.
Kofinas A, Kofinas G. differences in amniotic fluid patterns and fetal biometric parameters in third trimester pregnancy with and without diabetes. J Matern Foetal Neonatal Med. 2006;19(10):633-8.
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;5:2291-4.
Chaudhari KR, Chaudhari KR, Desai OM. Perinatal outcome associated with oligohydramnios in third trimester. Int J Reprod Contracept Obstet Gynecol. 2017;6:72-5.
Vidyasagar V, Chutani N. Fetomaternal outcome in cases of oligohydramnios after 28 weeks of pregnancy. Int J Reprod Contracept Obstet Gynecol. 2015;4:152-6.
Chauhan SP, Sanderson M. Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: a meta-analysis. Am J Obstet Gynecol. 1999;181(6):1473-8.
Sowmya K, Varghese B, Borkar YB. Effect of isolated oligohydramnios in otherwise normal term pregnancy. Int J Biomed Res. 2014;5(2):98-101.
Madhavi K, Rao PC. Clinical study of oligohydramnios, mode of delivery and perinatal outcome. IOSR J Dent Med Sci. 2015;14(4):6-11.
Driggers RW, Holcroft CJ. An amniotic fluid index less than or equal to 5cm within 7 days of delivery in the third trimester is not associated with decreasing umbilical arterial ph and base excess. J Perinatol. 2004; 24(2):72-6.
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.