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

Malviya, Ritika; Mahor, Suman; Saranu, Sarada

doi:10.18203/2320-1770.ijrcog20211126

Cited by 1 publication

(1 citation statement)

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“…However, induction of labour leads to increase in risk of operative delivery and perinatal risks. 3 According to one study, the positive predictor of vaginal birth in patients undergoing induction of labour were to induce at term gestation with continuous electronic fetal monitoring in active labour 4 Pregnancies with idiopathic oligohydramnios, which account for over 50.7% of cases detected in the third trimester, are linked to a higher risk of low birth weight, meconium-stained liquor, caesarean delivery, and foetal distress. 5,6 In addition to a study reported a significant association between isolated oligohydramnios and long term neurological deficits of the offspring including developmental disorders, movement disorders, degenerative and demyelinization disorders.…”

Section: Original Articlementioning

confidence: 99%

The Fetomaternal Outcome of Induction of Labour in Idiopathic Oligohydramnios

Kinza Alam,

Afnan Rizwan,

Amarta Imdad Hussain

et al. 2023

Ann Pak Inst Med Sci

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Objective: To assess fetomaternal outcome of induction of labour in patients with idiopathic oligohydramnios at ANTH to reduce the morbidity associated with increased cesarean section rate and deliver alive healthy babies. Methodology: This quasi experimental study was conducted in the department of Obstetrics & Gynecology, Alsuffah hospital Rawalpindi and Akbar Niazi Teaching Hospital, Islamabad, over a period of six months from June to Dec 2022. A detailed history was taken followed by a thorough general physical examination and obstetric examination. Routine investigations were performed along with obstetrical ultrasonography. CTG was performed and after ensuring a reactive trace along with no contraindication to vaginal delivery; were offered option of induction of labour after informed consent on predesigned consent form with tab. prostin E2 3mg maximum of two doses with 6 hours apart via vaginal route as per induction of labour protocol at 37 weeks or beyond and were followed-up in OPD till postnatal follow up after 1 week. Results: The mean age of the patients was 26.85 ± 0.46 years. Majority 30 (41.1%) of the patients had parity of 3 or more and most 31 (42.47%) of the females in the study were given induction of labor at 39 weeks’ gestation followed by 27 (36.99%) were given IOL at 38 weeks. The mean value of the amniotic fluid index was 4.35 ± 1.84. Main bulk 34 (46.58%) of the females delivered with cesarean section and most common indication for cesarean section Pathological CTG in 15 (20.55%) patients. Mean birth weight was recorded to be 3.25 ± 0.86 kg and about one third of the babies, 24 (32.88%) babies required admission in NICU. A large number 31 (42.47%) of the children had low APGAR score (< 7) at 5 minutes. Conclusions: The development of foetal distress, meconium-stained liquor, caesarean delivery rates, NICU admission rates, and low birth weight are all linked to pregnancies with isolated oligohydramnios.

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Section: Original Articlementioning

confidence: 99%