Maternal and fetal outcome in oligohydramnios: study from a tertiary care hospital, Ahmedabad, India

Abstract

Background: Most severe and frequent complication of pregnancy is Oligohydramnios and the incidence of this is observed to be about 1-5 % of total pregnancies. Objective of present study was to find the maternal and perinatal outcome, etiology associated with oligohydramnios at tertiary care hospital.Methods: This prospective study was done among 55 patients with gestational age from 30-40wks with Oligohydramnios AFI<5cms with intact membranes were analysed for perinatal outcomes admitted at department of obstetrics and Gynecology in B.J. Medical college, Ahmedabad during July 2008 to July 2010.Results: 65.5% participants were belonged to 20 to 25 age group and 35.5% participants were Primigravida. Mean age was 23.9±3.3 years and mean gestation age was 36.9 week. Almost 72.2% were in 34 to 37 weeks of gestational age. Study found FMC <10 in 56.4% of participants. Forty percent participants have AFI 4 and 27.3% have AFI 5. 47.3% delivery was done by vaginal route. 5.5% baby was still birth and prematurity were the most common cause of still birth. Around 71% babies were low birth weight and congenital anomalies were present in 7.3% babies. APGAR score measured <7 at 1 minute was in 65.4% and <7 at 5 minutes was in 43.6% babies.Conclusions: Oligohydramnios in obstetrics is a frequent occurrence and it points towards intensive surveillance and proper ante-natal and post-natal care. Due to high perinatal morbidity and mortality, the incidence of LSCS increases. However, vaginal delivery has similar outcome, but strict vigilance in labor is mandatory.

Determinants of Maternal and Neonatal Outcomes of Oligohydramnios After 37+0 Weeks of Gestation in Mekelle Public Hospitals, Northern Ethiopia

“…Similar to study done in India, in the present study no plausible causes of oligohydramnios were present in nearly half of the cases [13]. Prolonged pregnancy, hypertensive disorders of pregnancy and severe IUGR were the most common problems identi ed accounting for 37.4%, 7.3% and 6.2% respectively which is in agreement with the aforementioned study which reported similar rates.…”

“…Oligohydramnios poses a dilemma in management specially in set -ups with no continuous fetal monitoring [6]. Due to intrapartum complication and high rate of perinatal morbidity and mortality associated with oligohydramnios, rates of caesarean section are rising, but decision between vaginal delivery and caesarean section should be well balanced so that unnecessary maternal morbidity is prevented and perinatal morbidity and mortality are reduced [6,13].…”

“…Amniotic uid serves to protect the fetus and umbilical cord from compression. It also has antibacterial properties, serves as a reservoir of water and nutrients and provides the necessary condition for normal development of fetal lung, musculoskeletal and gastrointestinal system, regulates temperature, reduces the impact of uterine contractions on the fetus [8,13]. It enables continued fetal growth in a nonrestricted, sterile and thermally controlled environment [17].…”

Comparative Study of Maternal and Fetal Outcome between Low and Normal Amniotic Fluid Index

“…Similar findings were seen in other studies by Ahmar et al Tajinder et al Biradar et al [10]. Showed more induction in patients as compared to controls because of abnormal Doppler and/or medical/obstetric complications (like eclampsia, pre-eclampsia, GDM) and because pregnancies were not allowed to continue beyond 37 weeks in these patients.…”

Oligohydramnios as a predictor of perinatal and neonatal outcome at a tertiary care centre of Western India

“…Similar studies were done showing variable percentage of LSCS, byGolan et al 5 (35.2%), Bower Chatoor et al 6 (44%), Bansal et al 2 .,(47%).…”