DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162175

Fetomaternal outcome in patients with oligohydromnions in a tertiary hospital

Ratnaboli Bhattacharya, Akshaya S.

Abstract


Background: Oligohydramnios defined as an AFI ≤5 or maximum vertical pocket devoid of umbilical cord or fetal limbs measure <2 cm, in the presence of intact membranes is a common obstetric complication. The objective was to study the fetomaternal outcome in patients with oligohydromnios in tertiary hospital.

Methods: 50 singleton live pregnancies between 34-40 weeks gestation with well-established dates with AFI 5 or less were selected for the study group. 50 singleton live pregnancies between 34-40 weeks gestation with well-established dates with AFI more than 5 were selected for the control group. Ultrasound examination was done for all women whenever they visited the hospital at/after 34 weeks of gestation. AFI was obtained sonographically. Maternal and fetal outcomes were studied in both groups.

Results: Oligohydromnios is associated with increased rates of LSCS and induction of labour. The babies are more likely for NICU admissions. There was no difference in low APGAR score, congenital anamoly, perinatal deaths.

Conclusions: The study concludes that oligohydromnios leads to increased LSCS, induction and NICU admissions. Once oligohydramnios is detected, patients should be put on regular fetal surveillance such as Doppler studies and NST. Timely termination of pregnancy can reduce the fetal and maternal complications and improve labour outcome.


Keywords


Oligohydromnios, AFI, Induction, LSCS, Perinatal morbidity

Full Text:

PDF

References


Dutta DC. The placenta and the membranes. Textbook of obstetrics. 6th edition. Central Book Agency (P) Ltd;2004:37-9.

Zhang J, Troendle J, Meikle S, Klebanoff MA, Rayburn WF. Isolated oligohydramnios is not associated with adverse perinatal outcomes. Br J Obstet Gynaecol. 2004;111(3):220-5.

Misra R. Hydramnios and oligohydramnios. In Renu Misra. Ian Donald’s Practical Obstetric Problems. 6th edition. BI Publications Pvt. Ltd;2007:364-75.

Umber A. Perinatal outcome in pregnancies complicated by isolated oligohydramnios at term. Annals. 2009;15:35-7.

Magann EF, Doherty DA, Lutgendorf MA. Peripartum outcomes of high risk pregnancies complicated by oligohydramnios. J Obstet Gynaecol Res. 2010;36(2):268-77.

Guin G, Punekar S, Lele P, Khare S. A prospective clinical study of feto-maternal outcome in pregnancies with abnormal liquor volume. J Obstet Gynaecol India. 2011;61(6):652-5.

Belman AB, King LR, Kramer SA. Anomalies of the kidney. Clinical Pediatric Urology. 4th edition. Martin Dunitz Ltd;2004:541.

Chauhan SP, Washburne JF, Magann EF. A randomized study to assess the efficacy of the amniotic fluid index as a fetal admission test. Obstet Gynecol. 1995;86:9.

Sultana S, Khan MAK, Akhtar KAK, Aslam M. Low amniotic fluid index in high risk pregnancy and poor Apgar score at birth. J College Physicians Surgeons Pakistan. 2008;18(10):630-4.

Ahmad H, Munim S. Isolated Oligohydramnios is not an indicator for adverse perinatal outcome. J Pak Med Asso. 2009;59:691.

Magann EF. Chauhan SP. Doherty DA. Barrillcaux PS, Martin JN, Morrison JC. Predictability of intrapartum and neonatal outcomes with the amniotic fluid volume distribution: a reassessment using the amniotic fluid index, single deepest pocket, and a dye -determined amniotic fluid volume. Am J Obstet Gynecol. 2003;188:1523-8.

Bangal VB, Purushottam AG, Bhushan MS. Incidence of oligohydramnios during pregnancy and its effects on maternal and perinatal outcome. J Pharma Biomed Sci. 2011;12(12):5.

Jandial C, Gupta S, Sharma S, Gupta M. Perinatal outcome after antepartum diagnosis of oligohydramnios at or beyond 34 weeks of gestation. JK Science. 2007;9(4):213-4.

Driggers RW, Holcroft CJ, Blakemore KJ, Graham EM. An AFI=5 cm within 7 days of delivery in the third trimester is nogt associated with decreasing umbilical arterial pH and base excess. J Perinatology. 2004;24:72-6.

Ahmad H, Munim S. Isolated oligohydramnios is not an indicator for adverse perinatal outcome. J Pakistan Med Asso. 2009;59:691.

Sultana S, Khan MAK, Akhtar KAK, Aslam M. Low amniotic fluid index in high risk pregnancy and poor Apgar score at birth. J College Physicians Surgeons Pakistan. 2008;18(10):630-4.

Chate P, Khatri M, Hariharan C. Pregnancy outcome after diagnosis of oligohydramnios at term. Int J Reprod Contracept Obstet Gynecol. 2013;2(1):23-6.