A study on fetal outcome in patients with oligohydramnios

Chauhan, Rooplekha; Sahni, Sonal; Dubey, Akhilesh

doi:10.18203/2320-1770.ijrcog20190302

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…The significant association between low AFI and poor fetal outcomes during delivery, as evidenced by a Chi-square test result (χ² = 8.43, p < 0.01), reinforces the findings from earlier studies, thereby substantiating the robust nature of this correlation (17). Contrary to some studies indicating a decrease in AFI with advancing gestational age, particularly post-term, the present study did not observe a significant variation in AFI across different gestational age groups (18). This discrepancy may be attributed to the limited sample size of the current research, underscoring the necessity for larger-scale studies to derive more definitive conclusions.…”

Section: Discussioncontrasting

confidence: 99%

Adverse Fetal Outcomes in Patients with Low Amniotic Fluid Index: Presenting Care Hospital Setting

Basit,

Mazhar,

Jamala

et al. 2023

JHRR

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Background: Pregnancy is a critical period where various physiological parameters are monitored to ensure the well-being of both mother and fetus. Amniotic fluid index (AFI) is one such measure, with deviations from the norm, particularly low AFI, being associated with adverse fetal outcomes. This study delves into the correlation between low AFI and fetal well-being in a tertiary care setting. Objective: The aim of this study was to investigate the association between low AFI and adverse fetal outcomes and to quantify the impact of low AFI on fetal health during delivery in a tertiary care hospital. Methods: A prospective study was conducted on 100 pregnant women attending the Obstetrics and Gynecology Department of Khyber Teaching Hospital, Peshawar, from June 28 to September 27, 2023. AFI was measured using ultrasonography, with a particular focus on participants with an AFI of less than 5 cm. The study also included a systematic sample of patients across various gestational ages and recorded outcomes such as intrauterine growth restriction (IUGR), oligohydramnios-associated deformations, cord compression, variable decelerations in fetal heart rate, and the presence of meconium-stained amniotic fluid. Statistical analysis was performed using chi-square and t-tests, with a significance level set at p<0.05. Results: The mean AFI was 8.7 cm (SD = 1.5). Low AFI (<5 cm) was observed in 15% of the participants. Adverse outcomes included 6 cases of IUGR (6%), 4 cases of oligohydramnios-associated deformations (4%), 3 cases of cord compression (3%), 5 cases of variable decelerations in fetal heart rate (5%), and 8 cases of meconium-stained amniotic fluid (8%). A significant association was found between low AFI and adverse fetal outcomes (χ² = 8.43, p < 0.01). Conclusion: The study confirmed a significant correlation between low AFI and the presence of adverse fetal outcomes, emphasizing the importance of vigilant fetal monitoring and management in pregnancies with low AFI.

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Section: Discussioncontrasting

confidence: 99%

Adverse Fetal Outcomes in Patients with Low Amniotic Fluid Index: Presenting Care Hospital Setting

Basit,

Mazhar,

Jamala

et al. 2023

JHRR

View full text Add to dashboard Cite

show abstract

“…Two hundred sixty four women participated in the study. Three-fourth of the participants were from the urban setting [N = 198, 75%] and majority were within the age group of [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]…”

Section: Socio-demographic Characteristics Of the Study Participantsmentioning

confidence: 99%

“…Occurrence of adverse perinatal outcomes in oligohydraminos depends on the extent of oligohydramnios, and the presence of other factors like post term pregnancy, IUGR, presence of hypertensive disorders of pregnancy, gravidity, ANC booking, non-reactive NST, Gestational age at delivery and the cause of oligohydramnios (6,(19)(20)(21)(22)(23)(24)(25).…”

Section: Introductionmentioning

confidence: 99%

Magnitude and associated factors of adverse perinatal outcomes among women with oligohydramnios at 3rd trimester at University of Gondar comprehensive specialized hospital, North West Ethiopia

Molla

Mengistu

Tsehaye

et al. 2023

Front. Glob. Womens Health

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BackgroundOligohydramnios is a pregnancy condition characterized by low volume of amniotic fluid. Based on ultrasound measurement, it is defined as a single maximum vertical pocket of liquor less than 2 cm or summation of four quadrants vertical pockets of liquor measurement less than 5 cm. It is associated with multiple adverse perinatal outcomes (APO) and complicates 0.5%–5% of pregnancies.ObjectiveTo assess magnitude and associated factors of adverse perinatal outcome among women with oligohydramnios at 3rd trimester at University of Gondar Comprehensive Specialized Hospital, North West EthiopiaMethodsInstitution based cross-sectional study was employed from April 1 to September 30, 2021 in which 264 participants were involved. All women with oligohydramnios at 3rd trimester who meet the inclusion criteria were included. Semi- structured questionnaire was used for data collection after Pre-tested. Collected data was checked for completeness; clarity then coded and entered using Epi data version 4.6.0.2 then exported to STATA version 14.1 for analysis.ResultThe magnitude of APO was 46.6% (95%CI: 40.5–52.7%). Null parity [AOR = 2.2, 95%CI (1.2–4.2)], presence of hypertensive disorders of pregnancy (HDP) [AOR = 4.9, 95%CI (2.0–12.1)] and presence of intrauterine growth restriction (IUGR) [AOR = 8.4, 95%CI (3.5–20.2)] were found to be predictors of APO.ConclusionThird trimester oligohydramnios is associated with APO. The presence of HDP, IUGR and being nulliparous were predictors of APO.

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A study on fetal outcome in patients with oligohydramnios

Cited by 2 publications

References 11 publications

Adverse Fetal Outcomes in Patients with Low Amniotic Fluid Index: Presenting Care Hospital Setting

Adverse Fetal Outcomes in Patients with Low Amniotic Fluid Index: Presenting Care Hospital Setting

Magnitude and associated factors of adverse perinatal outcomes among women with oligohydramnios at 3rd trimester at University of Gondar comprehensive specialized hospital, North West Ethiopia

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