Published: 2017-05-25

A clinical study of mode of delivery and perinatal outcome in iligohydramnios

U. S. Hangarga, V. G. Kulkarni, . Nikitha


Background: To evaluate intrapartum sequale of sonographically diagnosed Oligohydrominos such as rate of caesarean section, fetal distress and condition of the new born.

Methods: This Prospective observational study was conducted in the department of obstetrics and Gynecology, Navodaya Medical College Hospital and Research Centre between June 2015 to December 2016. The antenatal women with gestational age more than 34 weeks and above, attending our OPD or labor room were included in this study.

Results: A total of 140 cases of Oligohydromnias were selected for present study and outcome were assessed. The mean maternal age is 24.42 years. 32.14% cases have delivered vaginally, 67.82% patients went for caesarean sections, 10.7% of babies needed NICU care and 1 was still birth. No adverse maternal complications were observed during the study.

Conclusions: Oligohydromnia is one of the frequent complications during labor. The risk of muconium staining of liquor, intrapartum fetal distress, operative delivery and NICU admissions are more in Oligohydromnia cases.


APGAR, Caesarean section, Fetal distress, IUGR, Muconium stained liquor, NST, Oligohydrominos

Full Text:



Munn MB. Management of oligohydromnios in pregnancy. Obstet Gynecol Clin North Am. 2011;38(2):387-95.

Phelan JP, AHN Mo, Smith CV. AFI measurements during pregnancy. J Reprad Med. 1987,32:601-4.

Manning FA, Hill LM, Platt LD. Qualitative amniotic fluid volume determination by ultrasound: Ante partumdetection of intrauterine growth retardation. Am J Obstet Gynecol. 1981;139:254-8.

Chauhan SP, Sanderson M, Hendrix NW, Magann EF, Devoe LD. Perinatal outcomes and amniotic fluid index in the antepartum and intrapartum periods: a meta-analysis. Am J Ostet Gynecol. 1999;181:1473-8.

Everett F, Magann MD, Suneet P, Dorota A, Doherty Chauhan MD et al. Predictability of intrapartum and neonatal outcomes with the amniotic fluid index, single deepest pocket and a dye determined amniotic fluid volume. Am J obstet Gynecol. 2003;5(8);478-81.

Casey Bm, Mclntire DD, Bloom Sl, Lucas MJ, Santos R, Twickler DM et al. pregnancy outcomes after antepartum diagnosis of oligohydromnios at or beyond 34 weeks gestation. Am J Obstet Gynecol. 2000;182:909-12.

Sriya R, Singhai S. perinatal outcome in patients with amniotic fluid index<5cm. J Ostet Gynecol India.2001;51:98-100.

Zhange J, Troendle J. Isolated Oligohydrominos is not associated with adverse perinatal outcome. Int J Gynecol obstet. 2004;3:220-5.

Sowmya K, Varghese B, Borkar Y U. Effect of isolated Oligohydrominos in otherwise normal term pregnancy. IJBR. 2014;05(2),98-101.

Manisha Sharma, D K Bhagwani, Mala chaurasia, P K Jain,. Indian Journal Of Neonatal medicine and research. 2016;4(30):0001-5.

Chandra P, kaur SP, Hans DK. The impact of amniotic fluid volume assessed intra partum on perinatal outcome. Obstet Gynceol. Today. 2000;5(8):478-81.

Phelan JP, Smith CV, Small m. Amniotic fluid volume assessment with the four quadrant technique at 36 to 42 weeks gestation. J Reprod Med. 1987;32:540-2.