Background: This study was aimed to evaluate the predictive value of low amniotic fluid index (AFI) (≤5) for abnormal perinatal outcomes. Abnormal perinatal outcomes included cesarean section for fetal distress, low birth weight, meconium staining, low Apgar scores and admission to NICU. Methods: This was a prospective study of 200 antenatal subjects at Sheri Kashmir Institute of Medical Sciences, Bemina during the years 2014-2015 with gestational age between 34 and 41 weeks. The history, clinical examination of the subjects was recorded and AFI was measured and the perinatal outcome compared between AFI ≤ 5 and ≥ 5 groups. Result: We observed that the low birth weight babies < 2.5 kg and cesarean section rate for fetal distress was greater in subjects with oligohydramnios (p < 0.5). Insignificant differences were observed in perinatal outcomes of meconium staining, Apgar score of <7 at birth between the two groups. Conclusion: Thus it can be concluded that oligohydramnios significantly correlates with the cesarean section for fetal distress, low birth weight babies and admission to NICU.

General anaesthesia is associated with several common complications, TMJ dislocation is one of the rare complications encountered during airway management. Usually occurs during endotracheal intubation but other factors such as force full laryngoscopy, manual attempt to complete intubation or duration for which TMJ was stressed may also be responsible. The incidence of TMJ dysfunction is reported to be 5% following endotracheal intubation, 1 but less cases have been reported during LMA insertion. We report a case of TMJ dislocation in a 25 year old female patient during general anaesthesia after use of proseal LMA.

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