Perinatal Outcome in Patients with Isolated Oligohydramnios at Term: A Prospective Study

Mushtaq, Enas; Parveen, Shameema; Shaheen, Feroze; Jan, Sami; Abdullah, Aszrin; Lone, Yasir Ahmad

doi:10.4172/2376-127x.1000332

Cited by 9 publications

(16 citation statements)

References 17 publications

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“…2 According to Enas M et al NICU admission was required for 7.6% in babies of study group and 6% babies of control group. 8 There was 1 still birth in study group due to 2 tight cord around neck and there was no immediate neonatal death in either study or control group. 1 Manisha S et al reported higher rates of NICU admissions, 44% in study group and 13% in control group because 57% women in study group had preterm labour.…”

Section: Resultsmentioning

confidence: 76%

“…11 Enas M et al reported 5.59% at 1 minute and 2.05% at 5 minutes in study and 8.4% at 1 minute, 1% at 5 minutes in control group. 8 Manisha S et al reported 55% in study,13% in control group at 1 minute. 9 Kolsoum R et al reported 4.7% in both groups at 5 minutes, Deepika B et al reported 17.5% at 5 minutes.…”

Section: Resultsmentioning

confidence: 91%

“…[2][3][4]6 Patel P et al reported 58.75% in primigravida Enas M et al reported 58.2% in primigravida. 7,8 Reddy P et al reported 60% in primigravida and 40% in multigravida. 1 The present study in comparable with Krishna J et al 2 Manisha S et al reported 71% of oligohydramnios cases were associated with antenatal complications such as PIH 39%, IUGR 29%, PROM 15%, Abruptio placenta 15%, compared to 36% in control group.…”

Section: Resultsmentioning

confidence: 99%

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Maternal and fetal outcome in oligohydramnios after 34 weeks of gestation

Chiniwar

Kaushik

Menasinkai

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Oligohydramnios is one of the major causes of maternal and perinatal morbidity and mortality. It is a clinical condition characterized by Amniotic Fluid Index (AFI) ≤5 cm by sonographic assessment. The aim of present study is to know the maternal and fetal outcome in oligohydramnios after 34 weeks of gestation compared with women who had normal volume of amniotic fluid.Methods: Study was done for the period of 21 months from November 2014-July 2016 at Adichunchanagiri Institute of Medical Sciences, Hospital and Research Centre Bellur. 50 antenatal cases with > 34 weeks of gestation with AFI ≤5 cm by ultrasonographic estimation were included as study group and 50 women with normal AFI were included as control group. Maternal and fetal outcome of the women with oligohydramnios were analyzed and compared with control group.Results: Results were analyzed statistically using parameters like mean, SD, Chi Sq test, P value. Amniotic fluid was clear in 32% in study and 78% in control group, thin meconium stained in 30% in study group and 14%in control group and was thick meconium stained in 38% in study group and 8% in control group (Chi square =22.31, p<0.0001). Induction of labour was done in 54% in study group and 20% in control group. Cesarean delivery was done in 58% in study group women and 28% in control group women. Regarding the birth weight of babies 62% were < 2.5 kg in study group and 18% in control group with p<0.001. 10% of babies in study group required NICU admission and perinatal mortality was 2%.Conclusions: Due to increased perinatal morbidity and mortality and increased rate of LSCS, timely decision during labour is important to reduce perinatal morbidity and mortality.

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Section: Resultsmentioning

confidence: 76%

Section: Resultsmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

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Maternal and fetal outcome in oligohydramnios after 34 weeks of gestation

Chiniwar

Kaushik

Menasinkai

2018

Int J Reprod Contracept Obstet Gynecol

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“…15 But a study by Mushtaq et al and Sangeetha et al showed no difference in NICU admissions. 14,16 In our study there were no neonatal deaths or stillborn in both the groups. Similar results were found in other related studies by Kavitha et al and Sowmya et al 15,18…”

Section: Discussionmentioning

confidence: 72%

“…A study by Zhang et al and Enas et al have given similar results. 13,14 This study shows increased evidence of NICU admission among study group (14%) as compared to control group (3%) (p=0.001). Although there is a statistical significance in the NICU observation rates it was not associated with increased perinatal morbidity or mortality.…”

Section: Discussionmentioning

confidence: 87%

Isolated oligohydramnios: effects on obstetric and perinatal outcome

Vishalakshi

Rani

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Outcome of oligohydramnios has been studied at a large. Varying results have been projected in each study. This study has been done to establish the obstetric and perinatal outcome in pregnancy associated with oligohydramnios as compared to women with normal liquor.Methods: This was a prospective case controlled study done which included 100 women with oligohydramnios who were compared with 100 women with normal liquor. Maternal and perinatal outcome was compared between the two groups.Results: There was a significant difference in the obstetric and perinatal outcomes among the study and control groups. Significant variation was seen in the obstetric outcome with regards to the incidence of induction of labor and mode of delivery (by caesarean section). Both were increased among the study group as compared to the control group. CTG changes, meconium stained liquor, neonatal admissions and observations were more among the study group as compared to control group.Conclusions: Athough there is an increased rate of caesarean section, NICU admission and observation, thick meconium stained liquor and NST changes there is no significant increase in the perinatal morbidity and mortality.

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