DOI: 10.36347/sjams.2019.v07i11.010

Pages: 3541-3544

Decrease in liquor or oligohydramnios is associated with increased risk of perinatal morbidity in terms of low birth weight, meconium aspiration syndrome, low APGAR Score, increased rate of NICU admission and perinatal death. It is also associated with increased rate of caesarean delivery. Early detection of oligohydramnios and its management may help in better feto-maternal outcome. The objectives of present study were: 1) To study the effect of oligohydramnios on maternal outcome in terms of vaginal delivery or caesarean delivery. 2) To study the effect of oligohydramnios on fetal outcome in terms of APGAR score, NICU admission, birth weight and perinatal death.; Present study is a hospital based case-control study done over a period from 1-07-2018 to 30-06-2019 in 200 patients with oligohydramnios and 200 control with normal liquor volume in third trimester pregnancy, selected randomly after satisfying inclusion and exclusion criteria. AFI <5cm was considered oligohydramnios. There was increased incidence of non reactive NST, induction of labour, delivery by LSCS, low APGAR Score, low birth weight ( <2.5 kg) and perinatal mortality (8%) in women with oligohgydramnios. Most common cause of LSCS was fetal distress. AFI < 5 cm detected at 37 weeks of gestation is an indicator of poor perinatal outcome. Determination of AFI is a valuable screening test for predicting fetal distress in labour requiring caesarean section.