Pregnancy outcome after diagnosis of oligohydramnios at term

Abstract

Objectives: The aim of the study was to evaluate the effects of oligohydramnios on maternal and fetal outcome at term pregnancy. Methodology: A case control study on pregnancy outcome in 100 women with AFI<5cm after 37 completed weeks of pregnancy compared with 100 controls with no oligohydramnios with matched age and parity. Results: Non stress test (NST) was non-reactive in 38% of oligohydramnios and 20% of controls and was statistically significant (P<0.05). Ominous fetal heart patterns were seen in 60% of oligohydramnios and 30% of controls but it was statistically not significant. Thick meconium stained amniotic fluid was seen in 48% of oligohydramnios and 20% of the controls and was significant (P<0.001). In oligohydramnios, 54% were induced whereas in controls, only 24% and was significant (P<0.002). For fetal distress, 88% of oligohydramnios and 90% of controls underwent LSCS and was not significant. APGAR score <7 was insignificant between the two groups. LBW and NICU admission were more in oligohydramnios and was significant (P<0.05, <0.01). Perinatal mortality was not significant between the two groups. Conclusion: Oligohydramnios (AFI<5) is valuable for predicting fetal distress in labour requiring caesarean section, used as an adjunct to other fetal surveillance methods. Oligohydramnios (AFI < 5cm) detected after 37 weeks of gestation is an indicator of poor pregnancy outcome.

Amniotic Fluid Index and its relationship with Poor Apgar Score in Term Pregnancy

“…In our study, 66 (29.5%) newborns had a poor Apgar score, with a (15,17). The study conducted by Chate P et al (18) revealed that pregnant women with an AFI less than 50 mm at term had higher rates of intrapartum complications and lower Apgar scores compared to those with higher AFI values. However, this outcome contrasted with the findings of Pasquini L et al (19), where no significant differences were observed in delivery modes or neonatal outcomes in pregnancies with oligohydramnios compared to those with normal AFI.…”

To Study the Association of Low Amniotic Fluid Index and Adverse Perinatal Outcomes in Third Trimester of Pregnancy

“…Kumar et al, Thobbi VA et al, and Chidanandaiah et al reported NICU admissions in the range of 38-40% due to fetal distress, birth asphyxia, and meconium aspiration. 21,25,26 Kahkhaie et al documented 1% of NICU admissions in the neonates born to mothers with AFI <5 cm. 27 In our study, the neonates born to mothers with AFI <5 cm had good APGAR scores at 5 minutes and no neonate scored below 7 due to good intrapartum monitoring and immediate resuscitation.…”

Relación entre APGAR al minuto y oligohidramnios en gestante a término atendidas en el hospital

“…En otro estudio llevado a cabo en India, (15) se compararon 50 pacientes con oligohidramnios con 50 normales, encontrando que 46% del grupo de estudio tuvieron APGAR al minuto <=7 frente a 18% del grupo control, no siendo significativa esta diferencia (p>0,05), como tampoco lo fue en un estudio adelantado por Nankali y cols., (16) a pesar que todos los del grupo con ILA <=5 tuvieron APGAR <=7 frente a 41% del grupo control.…”