A prospective study of maternal and fetal outcome in oligohydramnios in a tertiary care hospital

Abstract

Background: Amniotic fluid surrounding the fetus is an important biophysical marker of fetal wellbeing. Oligohydramnios defined as AFI<8cm can result in adverse maternal and perinatal outcomes. Aims & Objectives:The aim of study is to analyze the maternal and fetal out come in pregnant women with oligohydramnios at term. Materials & methods: A prospective study was conducted of all ANC'S admitted in labor room from the year august 2017 to July 2018. Out of 5800 patients 400 women at term with AFI of less than 8cms were included in the study. Outcome was observed in terms of AFI, type of delivery, Apgar score, birth weight, and NICU admissions. Results: The incidence of oligohydramnios was 6.89% in our hospital, in which moderate oligohydramnios was 4.58% &severe oligohydramnios 2.31%. Doppler changes were found in 3.2% on USG. The rate of LSCS was 28.5%. SGA was seen in 33% of which 11% had IUGR. NICU admissions were 28% and perinatal deaths 2%. Conclusion: Prevention, early detection and intervention of antenatal complications can probably reduce the incidence of oligohydramnios and improve maternal and fetal outcome.