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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 01
Fetomaternal Outcome in Term Oligohydramnios
Ranjana Atal, Siddharth Singh Rathore, Samta Bali Rathore
Published: Jan. 29, 2019 | 66 61
DOI: 10.36347/sjams.2019.v07i01.028
Pages: 153-156
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Abstract
Introduction: Oligohydramnios is defined as AFI < 5cm (amniotic fluid index) or the maximum vertical pocket of liquor is less than 2 cm. It has been correlated with increased risk of intrauterine growth retardation, meconium aspiration, severe birth asphyxia, low APGAR score and congenital abnormalties. There is an inverse relationship between amniotic fluid volume and pregnancy outcome. Material and method: This study was conducted in the department of Obstetrics and Gynaecology at Mahatma Gandhi Medical College and Hospital over a period of 1 year from January 2018 to December 2018 .65 patients in third trimester of pregnancy with oligohydramnios were selected randomly after satisfying inclusion and exclusion criteria. Results: This study was performed in 65 pregnant women with amniotic fluid index <5 cm with sinleton pregnancy. In this study 38 out of the 65 patients (58%) had vaginal delivery (either induced or spontaneous) and 27 patients (42%) underwent lower segment caesarean section. Patients with amniotic fluid index 4 - 5cm on USG were 39 (60%) followed by AFI 2-4 cm was 18 (28%) and AFI <2 cm was 8 (12%). Low birth weight (< 2.5 kg) was seen in 19 newborns (29%). NICU was required in 22 newborns (34%). Fetal congenital anomalies were seen in 4 cases (4%). congenital anomalies were hydronephrosis, diaphragmatic hernia, hypoplastic kidneys and multiple congenital anomalies.