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Poor Maternal and Perinatal Outcomes Associated with Oligohydramnios in Term Pregnancy

Shivani Goswami. , Shivani Goswami

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Indian Journal of Obstetrics and Gynecology 8(3):p 162-165, July–September 2020. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8320.9

How Cite This Article:

Shivani Goswami. Poor Maternal and Perinatal Outcomes Associated with Oligohydramnios in Term Pregnancy. Indian J Obstet
Gynecol. 2020;8(3):162-165.
 

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Introduction: Amniotic fluid provides the fetus with an environment to move and grow. The present study was conducted to assess maternal and fetal outcomes in cases with oligohydramnios.


Methodology: This prospective study was conducted in the Department of Obstetrics and Gynecology of a tertiary care teaching hospital Faridabad, Haryana from February 2019 till January 2020. Oligohydramnios was defined as amniotic fluid index (AFI) of less than
5 cm on ultrasonography. Additionally, we included a control group of pregnant women from the same antenatal clinic who had AFI of more than 5 cm.


Results: During the study period, we included 80 patients with oligohydramnios and another 80 mothers who did not have oligohydramnios. Among those with oligohydramnios, 69% underwent
LSCS, while in the other study group, only 38% underwent LSCS. We observed that fetal distress was significantly more common among cases with oligohydramnios as compared to those without oligohydramnios (39% vs 9%, p value < 0.001). Nonreactive NST was observed in 65% in those with oligohydramnios, while it was observed in only 21% in those without oligohydramnios (p value < 0.001).
Significantly higher proportion of cases had AGPAR score of less than 7 in the oligohydramnios groups as compared to the non-oligohydramnios group at 1 and 5 minutes (p value < 0.01).


Conclusions: We recommend screening antenatal mothers with AFI to detect possible high risk cases atan early stage, so that the obstetric team can prepare accordingly.
 

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Cite this article

Shivani Goswami. Poor Maternal and Perinatal Outcomes Associated with Oligohydramnios in Term Pregnancy. Indian J Obstet
Gynecol. 2020;8(3):162-165.
 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8320.9

Keywords

Amniotic fluid index; Maternal; Fetal outcome; Oligohydramnios.

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