Perinatal outcome associated with oligohydramnios in third trimester (original) (raw)
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Perinatal outcome associated with oligohydramnios in uncomplicated term pregnancies
Archives of Gynecology and Obstetrics, 2004
Background: We aimed to evaluate the effect of Oligohydramnios on fetal outcome in terms of fetal distress, Meconium staining of amniotic fluid, birth weight, Apgar score of newborn babies, NICU admission, early neonatal morbidity and mortality. Methods: This was a prospective study of 156 antenatal patients booked at K. J. Somaiya medical college and research centre during the year January 2012 to December 2013 with gestational age between 30-40wks with AFI<5cms with intact membranes were analyzed for perinatal outcome. Results: The Caesarian section rate for fetal distress was 41% in patients with Oligohydramnios. Meconium staining of amniotic fluid was found in 30.7% patients. APGAR score at 5 minutes <7 was found in 6 patients (3.8%). Conclusions: Oligohydramnios has significant correlation with Caesarean section for fetal distress and low birth weight babies. Oligohydramnios is associated with high rate of pregnancy complication and increased perinatal morbidity and mortality. Oligohydramnios is a frequent occurrence demand careful evaluation, intensive parental counseling, fetal surveillance and proper antepartum and intrapartum care.
Study of Oligohydramnios and Perinatal Outcome in Term Pregnancy
Journal of Evolution of Medical and Dental Sciences
BACKGROUND Oligohydramnios is associated with an increased risk of adverse pregnancy outcomes. The perinatal mortality rate in oligohydramnios is high. Oligohydramnios is also associated with fetal heart conduction abnormalities, meconium staining of the amniotic fluid, umbilical cord compression, lower Apgar scores, poor tolerance of labour and fetal acidosis. We wanted to assess the perinatal outcome in term pregnancies complicated with oligohydramnios in this study. METHODS A prospective cohort study was conducted among 200 cases of pregnant women with singleton term pregnancy with intact membranes and AFI < 5cm admitted from January 2019 to June 2020 in the Department of Obstetrics and Gynaecology, Government Medical College, Kozhikode. Antenatal patients with oligohydramnios confirmed by USG were induced within 24 hrs based on the Bishops score. History and examination findings were recorded in a predesigned proforma. Mode of delivery and APGAR scores were also noted. Neonat...
OBJECTIVES: The above study was conducted to find out the perinatal outcomes in pregnancies with oligohydramnios, especially in the third trimester of pregnancy. METHODS: This prospective and observational study was conducted in a Medical college and research centre at Moradabad city, U. P, from January to December 2012. In this study 78 singleton pregnant women with gestational age from 28 -42 weeks with less amniotic fluid index (AFI) were analyzed for perinatal outcome. Data were expressed as number (percentage). Proportion test was performed for comparison between two groups, P value <0. 05 was taken as level of significance. RESULTS: Women with oligohydramnios were significantly associated with an abnormal antepartum fetal heart rate (FHR), meconium stained fluid, Apgar score less than 7 or NICU admission. Also subjects with AFI of 5. 0 cm or less had a higher rate of cesarean section for fetal distress. CONCLUSIONS: Antepartum oligohydramnios is associated with an increased risk of fetal heart rate abnormalities. Although in our population it is not predictive of adverse perinatal outcome as measured by low Apgar score and NICU admission, yet this may be reflective of the aggressive antepartum and intrapartum management that these patients received.
Fetal and maternal outcome in oligohydramnios pregnancy (37-40 weeks
Background: This study is conducted to see the effects of oligohydramnios on both mother and fetus. Methods: 237 antenatal patients delivered at Department of DNB-OBG District hospital Bellari during January 2018 to December 2018 with gestational age between 37-40wks with AFI<5cms with intact membranes were studied and analyzed retrospectively for perinatal and maternal outcome. Results: Out of 237 cases with oligohydramnios with AFI <5cm studied, about 229 cases underwent LSCS (96.6%). most are primigravida about 164(69.19%), belong to age group of <25 about 181(76%). Average gestational age noted to be 38+4 weeks about 55.9% (132), NICU admission seen in 47(19.8%) of total cases. Most of the babies delivered are >2.5 kg birth weight about 144 (60.75%) of cases. New born with APGAR <7 @ 1 min seen in 36 cases (15.15%). Meconeum stained liquor seen in about 70 cases (29.5%). Conclusions: Oligohydramnios has significant correlation with increased Caesarean section for fetal distress. Oligohydramnios is associated with high rate of pregnancy complication and increased rate of NICU admission. Oligohydramnios is a frequent occurrence demanding careful evaluation, intensive fetal surveillance and proper antepartum and intrapartum care.
A STUDY OF OLIGOHYDRAMNIOS AT TERM ON MATERNAL AND FETAL OUTCOME
Objectves: (1) To study the effect of oligohydramnios on maternal outcome in terms of vaginal delivery or caesarean section. (2) To study the effect of oligohydramnios on fetal outcome in terms of Apgar score, NICU admission, birth weight and perinatal death. Methods: A prospective study conducted from January 2017 to July 2017 at Govt. Lalla Ded Hospital in Srinagar, Kashmir, where 100 patients with oligohydramnios were recruited and studied for maternal and perinatal outcome after meeting inclusion and exclusion criteria. Results: Majority of the patients were in the age group of 25-29. Incidence of oligohydramnios was more in primigravida. Most common cause was idiopathic (65%) followed by PIH (24%). NST was reactive in 62% and nonreactive in 38%. 18% patients delivered vaginally and 82% by caesarean section with most common indication being fetal distress. Conclusion: Oligohydramnios is associated with adverse perinatal outcome and increased maternal morbidity in terms of operative interference. Thus, proper antepartum surveillance and timely intervention is needed for better results.
Association of Adverse Perinatal Outcome with Oligohydramnios during Third Trimester of Pregnancy
Pakistan Journal of Medical and Health Sciences
Background: For the growth and development of the unborn child, amniotic fluid is absolutely necessary. Strong interactions between the fetus, placenta, and parts of the mother are given their volume1. Oligohydramnios is defined as having an amniotic fluid index (AFI) <5th percentile or AFI 5 cm during pregnancy and no water at a depth of 23 cm before the cornea. This is a common problem that occurs in 35% of pregnancies during childbirth2. Aim: To determining the correlation between oligohydramnios in pregnant women who are late in pregnancy (3rd trimester) and adverse birth outcomes such as partial surgery, decreased Apgar score, and lower birth weight. Study design: Cohort study Study set up: Obstetrics and Gynecology Department, Fatima Memorial Hospital Lahore. Study period: six months starting15-01-2022 to 14-07-2022 Methods: 242 females were enrolled. Two groups of participants were created: group II had normal AFI and group I had oligohydramnios. Females given intra venous...
Study of "Association of Oligohydramnios with Pregnancy Outcome"
Background-The amniotic fluid that bothers the foetus is necessary for proper growth and development. Oligohydramnios associated with meconium staining of the amniotic fluid, fetal heart conduction abnormalities, poor tolerance of labor, lower Apgar score and foetal acidosis. Objective-To find out if Oligohydramnios is associated with:-High incidence of adverse pregnancy outcome and adverse foetal outcome if possible.Material and Methods:-A descriptive prospective study carried out over a period of 6 months(July 2018 to December 2018) on the patients admitted and delivered at our MDM hospitalDepartment of obstetrics and gynecology, Dr. S.N. Medical College, Jodhpur. An ultrasound examination was done to monitor fetal well being and arrear amniotic fluid index and it was measured by Phelan's technique outcome measured by student test.Results-Present study conducted on 200 patients of Oligohydramnios and 200 control normal AFI subject. On comparison study population have more meconium stained liquor more LSCS, low apgar score, increase IUGR and NICU admissions. Conclusion :-Oligohydramnios is one of the indications of poor prenatal outcome. It is associated with foetal heart rate abnormalities, umbilical cord compression ,meconium staining of amniotic fluid, poor tolerance of labour, low apgar score due to foetal acidosis.
A STUDY ON MATERNAL AND FETAL OUTCOME IN OLIGOHYDRAMNIOS
International Journal of Advanced Research (IJAR), 2024
Background: Amniotic fluid provides a protected milieu for growing fetus, cushioning the fetus against mechanical and biological injury. It also supplies nutrients and facilitates growth and movement.Oligohydramnios is defined as Amniotic fluid index (AFI) less than 5 cm, or deep vertical pocket < 21. It occurs in 1–5% pregnancies at term, with the incidence increasing in postdate pregnancies to 11%.2 Maternal conditions associated with decreased AFV ( amniotic fluid volume)include post-dated pregnancy, preterm premature rupture of membranes (PPROM), hypertension, autoimmune disorders and maternal medication like prostaglandin synthetase inhibitors. Fetal factors: Which influence AFV are essentially related to fetal growth (intrauterine growth restriction) and fetal anomalies, particularly of the renal tract. The most commonly associated renal anomalies with oligohydramnios include bilateral renal agenesis, multicystic dysplastic kidneys, bladder outlet obstruction and infantile polycystic kidney disease.The aim of this study is to evaluate the etiological risk factors of oligohydramnios and to know the clinical significance and mode of delivery and maternal and perinatal outcome. Methods: This was a retrospective study conducted on 100 cases in Basaveshwar Medical and Teaching Hospital attached to MahadevappaRampure Medical college, Kalaburagi from 1-8-2023 to 1-6-2024.All cases coming to Basaveshwar medical and teaching hospital with oligohydramnios were included in the study after fulfilling inclusion and exclusion criteria Results: Of the 100 cases in the present study,40 cases were in 25-30 years accounting for 40% of cases with maximum number of cases in this age group.56 cases were primigravida accounting for 56% of cases with majority of cases being primigravida and 44 cases were multigravida accounting for 44% of cases.The number of cases with preterm rupture of membranes were 21 ( 21%), cases with Intra uterine growth restriction were 15 (15%). 6 cases (6%) had congenital anamolies. The number of cases withpost dated pregnancy were 22 (22%), Pregnancy induced hypertension cases were 28 (28%). Cases with autoimmune diseases were 1 (1%) and 7 cases (7%) were idiopathic.The most important cause for oligohydramnios was pregnancy induced hypertension and post-dated pregnancy. 13 of the cases had spontaneous onset of labouri.e 13% cases, 28 cases (28%) were induced and 59 cases underwent cesarean section accounting for 59% of all cases.In the present study, total of 19 cases underwent cesarean section because of fetal distress accounting for 19% of cases with the most common indication for cesarean section.11 cases (11%) underwent LSCS due to IUGR, ,4 cases (4%) underwent cesarean section because of non-progression of labour, 2 cases(2%) underwent LSCS because of malpresentation/malposition, 9 cases (9%) had cephalopelvic disproportion, 2 cases (2%) refused for induction of labour and 12 cases (12%) were previous LSCS.Among the 100 cases studied ,there were 8 cases (8%) with meconium aspiration syndrome, 5 cases (5%) had respiratory distress, 6 cases (6%) had low birth weight, 6 cases (6%) with congenital anomalies, 21 cases (21%)had NICU admissions, 4 cases (4%) were still born and 2 cases(2%) had intrauterine fetal death Conclusion: Oligohydramnios is associated with fetal distress, meconium aspiration syndrome ,respiratory distress syndrome ,increased NICU admissions, low birth weight, perinatal mortality, morbidity and increased maternal morbidity due to increased cesarean section rates.Oligohydramnios requires intense fetal monitoring with proper antenatal and intrapartum care.Hence, AFI can be used as a primary tool in fetal surveillance in antenatal and intrapartum period and can help in categorization of fetus into high risk and low risk .One can have favourable outcome with good antenatal and intrapartum care References: 1. Phelan JP, Smith CV, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36–42 weeks gestation. J Reprod Med 198732:540–2 2. Locatelli A, Vergani P, Toso L, Verderio M, Pezzullo JC, Ghidini A. Perinatal outcome associated with oligohydramnios in uncomplicated term pregnancies. Arch GynecolObstet 2004269(2):130–3.
A Clinical Study on Maternal and Perinatal Outcome of Oligohydramnios
Northern International Medical College Journal
Background : Oligohydramnios is one of the pregnancy associated common complications facing by obstetrician which is associated with adverse maternal and perinatal outcome such as birth defects, miscarriage, intrauterine growth restriction, still birth, preterm birth, increased operative interference etc. Objective: To assess the impact of oligohydramnios on maternal and perinatal outcome. Methods: This cross-sectional descriptive study was conducted at Department of Obstetrics and Gynecology, BSMMU, Dhaka from October 2017 to March 2018.Total 50 patients were enrolled by purposive sampling method according to the inclusion and exclusion criteria. Clinical evidence of oligohydramnios was looked for & confirmed by ultrasonography (USG). Based on Amniotic fluid index (AFI)measurements patients were divided into two groups. Those who have AFI <5cm and 5-8cm. The significance of difference or comparison of means was measured by Chi square test. Maternal and perinatal outcome in pregn...
Maternal and fetal outcome in oligohydramnios- Study of 100 cases
International Journal of Medical Science and Public Health, 2013
Background: Decrease in amniotic fluid volume or Oligohydramnios has been correlated with increased risk of intrauterine growth retardation, meconium aspiration syndrome, severe birth asphyxia, low APGAR scores and congenital abnormities. Early detection of oligohydramnios and its management may help in reduction of perinatal morbidity and mortality one side and decreased caesarean deliveries on the other side. Aims & Objective: (1) To study affects Oligohydramnios on fetal outcome in form of (a) Fetal distress (b) Growth retardation (c) NICU admission (2) To study APGAR scores of newborn babies in relation to Oligohydramnios (3) To study incidence of congenital malformation (4) To study early neonatal morbidity and mortality (5) To study maternal morbidity in form of operative delivery and induced labour. Material and Methods: Present study was done over a period from May 2009 to November 2011. 100 patients in third trimester of pregnancy with Oligohydramnios selected randomly after satisfying inclusion and exclusion criteria. A detailed history and examination were done. All required investigation done. Oligohydramnios confirmed by measuring AFI. Results: Mean maternal age-23.66 years. Incidence of oligohydramnios was more in primipara (52%) in our study. And operative morbidity was also more in primipara. Most common cause of Oligohydramnios is idiopathic (52%). Second commonest cause is PIH (25%). Operative morbidity is highest in PIH (60%). Operative morbidity was significantly higher in NST (non-stress test) non-reactive (3.12 ± 75=78.12%) group than NST reactive (26.47%) group. Most common reason to perform caesarean was fetal distress which was either due to cord compression or IUGR. 7% patients were found with fetoplacental insufficiency on Doppler study. Oligohydramnios was related to higher rate of growth retardation and NICU (neonatal intensive care unit) admission. Conclusion: Oligohydramnios is frequent occurrence and demands intensive fetal surveillance and proper antepartum and intrapartum care. Due to intrapartum complication and high rate of perinatal morbidity and mortality, rates of caesarean section are rising, but decision between vaginal delivery and caesarean section should be well balanced so that unnecessary maternal morbidity prevented and other side timely intervention can reduce perinatal morbidity and mortality.