PERINATAL OUTCOME IN TERM PREGNANCY WITH OLIGOHYDRAMNIOS
- Department of Obs and Gynae ,Government medical college Haldwani.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Introduction:Modern obstetrics is concerned with health and well-being of both mother and the unborn child. Recognition of foetus at risk for death or damage in utero, balancing the fetal risk against the risk of neonatal complications from immaturity, and determining the optimal time and mode of intervention are cornerstones. Quantification of amniotic fluid is an important component of the biophysical profile in USG evaluation of fetal well-being at term. There is an inverse relationship between the amniotic fluid index and the adverse perinatal outcome. Oligo hydramnios is clinical condition characterized by amniotic fluid index (AFI) of 5cm or less. Its incidence is 3-5 % of all the pregnancies an accurate and reproducible method of determining abnormality in amniotic fluid volume (AFI) is sonographic assessment of amniotic fluid index (AFI) It often increase the risk of small for gestational age (SGA) and also the incidence of cesarean section, meconium stained, low Apgar score and Neonatal intensive care (NICU) admission. Objective: The aim of study was to analyze the fetal out come in low risk pregnant women with oligohydramnios at term. This is a prospective, descriptive study. Material and method:In this study 50 Antenatal women were assessed In Dr. Susheela Tiwari government hospital Haldwani, Distt. Nainital, Uttarakhand. The women history, clinical examination recorded and AFI measured and perinatal outcome compared between two groups AFI <5 and >5. Regarding the fetal and pregnancy outcome using chi square and p value, details were recorded in terms of fetal weight, Apgar score at 1 and 5 minutes. Results: Mode of delivery, NICU admission neonatal death and induction of labour. Oligohydramnios is associated with a high rate of pregnancy complication and increased perinatal morbidity and mortality. Women with oligohydramnios usually have low birth babies. Conclusions: However, we can expect a safe and good outcome for which proper fetal surveillance and regular antenatal care visits are required.
- Bar-Hava I, Divon M, Sardo M, Barnhard Y (1995) Fetus-placenta-newborn. Is oligohydramnios in postterm pregnancy associated with redistribution of fetal blood flow? Am J Obstet Gynecol 173:519?522
- Chauhan SP, Sanderson M, Hendrix NW, Magann EF, Devoe LD (1999) Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: a meta-analysis. Am J Obstet Gynecol 181:1473?1478
- Clausson B, Cnattingius S, Axelsson O (1999) Outcomes of post-term births: the role of fetal growth restriction and malformations. Obstet Gynecol 94:758?762
- Conway DL, Adkins WB, Schroeder B, Langer O (1998) Isolated oligohydramnios in the term pregnancy: is it a clinical entity? J Matern Fetal Med 7:197?200
- Nicolini U, Fisk NM, Rodeck CH, Talbert DG, Wigglesworth JS. Low amniotic pressure in oligohydramnios--is this the cause of pulmonary hypoplasia? Am J Obstet Gynecol. 1989;161(5):1098?101.
- Brace RA, Wolf EJ. Normal amniotic fluid volume changes throughout pregnancy. Am J Obstet Gynecol. 1989;161(2):382?8.
- Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks\' gestation. J Reprod Med. 1987;32(7):540?2]
- Magann EF, Chauhan SP, Bofill JA, Martin JN, Jr. Comparability of the amniotic fluid index and single deepest pocket measurements in clinical practice. Aust N Z J Obstet Gynaecol. 2003;43(1):75?7. [PubMed] [Google Scholar]
- Ott WJ. Reevaluation of the relationship between amniotic fluid volume and perinatal outcome. Am J Obstet Gynecol. 2005;192(6):1803?9. doi: 10.1016/j.ajog.2004.12.062. discussion 1809. [PubMed] [CrossRef] [Google Scholar]
- Alchalabi HA, Obeidat BR, Jallad MF, Khader YS. Induction of labor and perinatal outcome: the impact of the amniotic fluid index. Eur J Obstet Gynecol Reprod Biol. 2006;129(2):124?7. doi: 10.1016/j.ejogrb.2005.10.039. [PubMed] [CrossRef] [Google Scholar]
- Banks EH, Miller DA. Perinatal risks associated with borderline amniotic fluid index. Am J Obstet Gynecol. 1999;180(6 Pt 1):1461?3. [PubMed] [Google Scholar]
- Chauhan SP, Sanderson M, Hendrix NW, Magann EF, Devoe LD. Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: A meta-analysis. Am J Obstet Gynecol. 1999;181(6):1473?8. [PubMed] [Google Scholar]
- Ghosh G, Marsal K, Gudmundsson S. Amniotic fluid index in low-risk pregnancy as an admission test to the labor ward. Acta Obstet Gynecol Scand. 2002;81(9):852?5. [PubMed] [Google Scholar]
- Antepartum Fetalsurveillance(practice bullentin no9). Washington DC: Acogbangyn; 2002. [Google Scholar]
- Moore TR, Cayle JE. The amniotic fluid index in normal human pregnancy. Am J Obstet Gynecol. 1990;162(5):1168?73. [PubMed] [Google Scholar]
- Casey BM, McIntire DD, Bloom SL, Lucas MJ, Santos R, Twickler DM, et al. Pregnancy outcomes after antepartum diagnosis of oligohydramnios at or beyond 34 weeks\' gestation. Am J Obstet Gynecol. 2000;182(4):909?12. [PubMed] [Google Scholar].
[Lalita and Vandana Bisht (2019); PERINATAL OUTCOME IN TERM PREGNANCY WITH OLIGOHYDRAMNIOS Int. J. of Adv. Res. 7 (Oct). 955-958] (ISSN 2320-5407). www.journalijar.com
Department of Obs and Gynae ,Government medical college Haldwani