Factors predicting success of vaginal delivery in women with oligohydramnios undergoing induction of labour


  • Ritika Malviya Department of Obstretics and Gynaecology, Gandhi Medical College Bhopal, Madhya Pradesh, India
  • Suman Mahor Department of Obstretics and Gynaecology, Gandhi Medical College Bhopal, Madhya Pradesh, India
  • Sarada Saranu Department of Obstretics and Gynaecology, Kamineni Hospital Hyderabad, Telangana, India




Oligohydramnios, Amniotic fluid index, Induction, Misoprostol


Background: Aim was to study the predicting factors for success of vaginal delivery, in women with oligohydramnios undergoing induction of labour.

Methods: An observational study conducted in tertiary care centre Kamineni Hospital in 100 patients in 1-year duration with vaginal misoprostol tablets to predict the success of vaginal delivery in cases, if oligohydramnios undergoing induction of labor.

Results: In our study total 100 cases was induced. Among these 81% had successful normal vaginal delivery and 19% had caesarean section delivery. Those who underwent caesarean section, their NST had become non reassuring at any time in labour, provided all supportive measures but their labour was terminated by caesarean section for sake of mother or baby.

Conclusions: It is preferable to induce the patients of oligohydramnios at term with continous fetal heart rate monitoring and also variability of the fetal heart rate pattern with uterine contractions.



Ali HS. Assessment of amniotic fluid index in normal pregnancy at a tertiary care Hospita setting. Ziauddin university, Karachi Pakistan. J ayub Med Coll Abbotabad. 2009;21(3);149-50

Dasari P, Niveditta G, Raghavan S. The maximal vertical pocket and amniotic fluid index in predicting fetal distress in prolonged pregnancy. Int J Gynaecol Obstet. 2007;969(2):89-93.

Brace RA. Physiology of amniotic fluid volume regulation. Clin Obstet Gynecol. 1997;40(2)280-9.

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

Moore TR. Clinical assessment of amniotic fluid. Clin Obstet Gynecol 1997;40(2):303-13.

Conway DL, Adkins WB, Shroedere B. Isolated oligohydramnios in a term Pregnancy: Is it a clinical entity. J Matern Fetal Med 1998;7:197-200

Elsendabesee D. Majumdar S, Sinha S. obstretician attitude towards isolated oligohydramnios at term. J Obstet Gynecol 200727(6):574-6

Ahmed H, Munim S. Isolated oligohydroamnios is not an indicator for adverse Perinatal outcome. J de Mathématiques Pures et Appliquées. 2009;59:691

Anis F, Haseena J, Ramadoss R,Sekaran M, Radhika S. Isolated oligohydramnios is an indication of labour? Int J sci Stud. 2014;2(9):32-5

Sowmya K, Varghese B, Borkar Y U. Effect of isolated oligohydramnios in Otherwise normal term pregnancy. Int J Busin Res. 2014;05(2):98-101

Kahkhaie KR, Keikha F, Keikhaie KR, et al. Perinatal Outcome After Diagnosis of Oligohydramnios at Term. Iran red Crescent Med J. 2014;16(5):e11772

Bachchav AA, Waikar M. Low Amniotic Fluid Index at Term as a Predictor of Adverse Perinatal Outcome. J Obstet Gynecol India. 2014;64(2):120-3.






Original Research Articles