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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 01
A Comparative Study of Mode of Delivery in Low & Normal Amniotic Fluid Index in Low Risk Pregnancy
Swati Gait, Lila Vyas, Lata Rajoria, Ankita Mathur
Published: Jan. 30, 2019 | 61 69
DOI: 10.36347/sjams.2019.v07i01.066
Pages: 367-370
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Abstract
Background: Estimation of amniotic fluid volume is a good predictor of maternal & perinatal outcome. With increasing obstetrical care more cases of oligohydramnios are coming into limelight & their management as per gestational age & mode of delivery are matter of great concernto doctor & patient .Oligohydramnios ,AFI</= 5cm has been circumstantially associated with variety of omnious pregnancy outcome such as prolonged labor , fetal distress in labor .We ,by this study sort to assess whether antepartum oligohydramnios is associated with adverse labor events Methods: A hospital based Prospective comparative study was conducted in the Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur from April 2017 to September 2018. 110 Pregnant women at term (37-40 weeks) attending antenatal clinic in Department of Obstetrics and Gynaecology, in SMS Medical College, Jaipur were enrolled for the study. They were divided in to two groups. Group-A comprising 55 patients with AFI >5 cm and Group-B comprising 55 Patients with AFI less than 5 cm or equal to 5 cm. A detail study regarding mode of delivery in concern with oligohydramnios was done, Result: Results showed that low AFI is more commonly associated with increased caesarean delivery. The rate of caesarean in oligohydramnios patient was 54.55%. Common indication of caesarean section was failed induction, non-progression of labor & fetal distress. Conclusion: Oligohydramnios in term pregnancies is associated with adverse pregnancy outcome such as prolonged labor, caesarean for fetal distress .It signifies the need for prevention, early detection and timely intervention to prevent the associated complications.