A study on the perinatal outcome in cases of oligohydramnios

Kaur, Pawanpreet; Desai, Deepak A.; Taraiya, Aartee

doi:10.18203/2320-1770.ijrcog20151608

Cited by 6 publications

(10 citation statements)

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“…The meconium stained liquor was noted in 33% in study group while 10% in control group which is statistically significant and consistent with the studies done before as in Kaur P et al, Padmini CP et al, Patel PK et al meconium stained liquor was found in 48%, 48% and 51% respectively. 9,8,11 In the present study, among cases 49 out of the 100 patients (49%) had vaginal delivery and 51 patients (51%) underwent lower segment caesarean section. The mean birth weight was low in oligohydramnios group.…”

Section: Discussionsupporting

confidence: 46%

“…This result is comparable to result of studies like Umber et al, Casey et al and Patel PK et al in which neonatal admissions were 7%, 7%, and 20% respectively. 13,14,11 This result was not comparable to result of various studies in which neonatal admissions in those with oligohydramnios were high like Kaur P et al, Chandra P et al, Padmini CP et al 9,8,15 Neonatal admissions in patients with oligohydramnios in study by Bhagat et al was very high, equal to 92%. Neonatal admissions were less in our study as compared to others as we had excluded associated comorbidities like hypertension, diabetes, severe anemia.…”

Section: Discussionmentioning

confidence: 73%

“…8,9,11,16 The occurrence of meconium stained amniotic fluid is high in women with oligohydramnios. The meconium stained liquor was noted in 33% in study group while 10% in control group which is statistically significant and consistent with the studies done before as in Kaur P et al, Padmini CP et al, Patel PK et al meconium stained liquor was found in 48%, 48% and 51% respectively.…”

Section: Discussionmentioning

confidence: 99%

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Correlation of reduced amniotic fluid index with neonatal outcome

Chaudhary

Dhama

Singh

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Amniotic fluid assessment is an essential part of evaluation of fetus health in terms of fetal distress, meconium aspiration, IUGR, Non-reassuring fetal heart rate patterns, birth asphyxia, low birth weight, low Apgar-scores and NICU Admissions.Methods: This prospective observational study included 200 antenatal patients of term gestation of which 100 cases with AFI<8 and 100 controls with AFI ≥8 but ≤ 15 were included in study. Ultrasonography and NST were done and results of both groups compared for the presence of meconium passage, non-reactive NST, birth asphyxia, low Apgar-scores, low birth weight, NICU admissions and neonatal deaths.Results: There was increased incidence of non-reactive NST (40% vs 12%), meconium stained (33% vs 10%) in oligohydramnios group. In cases 49% of patients had vaginal delivery while in controls 78%. 51% underwent LSCS in cases while in controls 22%. Apgar score <7 was found in 7% vs 4%. Birth weight was <2.5 kg in 35% vs 13%. NICU admissions in study group was 15% vs 11%. The neonatal death was similar in both cases groups.Conclusions: Oligohydramnios affect the neonatal outcome in terms of meconium stained liquor, non-reassuring fetal heart rate, low birth weight, birth asphyxia, low Apgar-scores and NICU Admissions and neonatal death but the difference was not statistically significant. Early detection of oligohydramnios and its management may help in reduction of perinatal morbidity and decreased caesarean deliveries.

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

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Correlation of reduced amniotic fluid index with neonatal outcome

Chaudhary

Dhama

Singh

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…12 Kaur P et al, found that the incidence of oligohydramnios was 60% in primigravida which is comparable to the present study. 13 Medical disorders like pre-eclampsia, hypothyroidism were risk factors to cause oligohydromnios in this study. Chronic placental insufficiency is the main underlying mechanism, leading to oligohydramnios.…”

Section: Discussionmentioning

confidence: 55%

“…In Kaur P et al study AFI in study cases as a screening test in predicting foetal distress during labour requiring LSCS, has a sensitivity of 68%, specificity 60%, positive predictive value 48% and negative predictive value of 78%. 22 A test with high sensitivity and negative predictive value makes it a good screening test. Variations in incidences of perinatal and maternal outcome could be because of differences in the selection criteria, the selection of cases for the study and chosen design for the sample size.…”

Section: Discussionmentioning

confidence: 99%

Impact of oligohydramnios on maternal and perinatal outcome: a comparative study

Sreelakshmi

Bindu

Subhashini

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Oligohydramnios has got significant impact on perinatal outcome and maternal morbidity. Therefore, early detection and its management will help in reduction of perinatal morbidity and mortality, decreased operative interventions. Hence, the present study is undertaken to study the impact of oligohydromnios on perinatal-maternal outcome.Methods: The present study was prospective comparative observational study conducted in the Department of Obstetrics and Gynaecology, Mallareddy Narayana Multispecialty Hospital, reputed teaching hospital from January 2015 to August 2017. The women were divided into study and control groups based on AFI, 100 cases were selected in each group.Results: Out of the 200 women, included in the present study, in study group AFI <5 cm was present in 51% of patients and AFI 5-8 cm in 49% of patients. Doppler abnormalities found in study group (n = 33). 32% of the patients in study group had non-reactive NST while in control group 8%. Caesarean section was performed in 70% of cases in study group as compared to 9% in control group. Foetal distress was the most common indication for LSCS. There were no perinatal deaths in this study.Conclusions: In this study amniotic fluid index of ≤5 cm was commonly associated with increased cesarean section rates, intrauterine growth restriction, Non-reactive NST and abnormal umbilical artery Doppler velocimetry studies. Hence, every case of oligohydramnios needs to be evaluated carefully, early detection and initiation of appropriate treatment and treat the cause if possible.

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The Relationship between Amniotic Fluid Index (AFI) & Single Largest Vertical Pocket and Perinatal Outcome in Late Severe Preeclampsia

Zakaria¹,

Mohamed²,

Badr³

2019

The Egyptian Journal of Hospital Medicine

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Backgound: the amniotic fluid is a clear fluid that surrounds the fetus, and produced in part by the amniotic cells, maternal blood during the first trimester of pregnancy and fetal urine and lung fluid during the second trimester of pregnancy. It serves as a cushion to the fetus allowing musculoskeletal development and protecting it from trauma. It also maintains temperature and has a minimal nutritive function. Evaluation of AFV through ultrasound measurement is an essential part in tests of fetal well-being (BPP), by measuring the AFI or the MVP. Objective: the aim of this study was to evaluate both AFI and single deepest pocket in patients with late severe preeclampsia, and to correlate both markers with different parameters of fetal outcome. Patients and Methods: the study was a prospective controlled study involving 100 women with severe preeclampsia >34w managed at Al Hussein University Hospital and Al Arish General Hospital with the following inclusion criteria, pregnant patients, age 18-40 years old, with variable parity and a singleton living fetus >34 weeks gestation, and with severe preeclampsia. Results: the neonatal outcomes regarding meconium is more with AFI group than MVP group while the neonatal outcome regarding NICU, RDS & Neonatal death in both groups were similar with no evidence of a statistical difference between both techniques. Conclusion: we concluded that AFI had more significant statistical relationship with perinatal outcome, hence AFI appeared to be a better predictor of perinatal outcome in preeclamptics in late severe preeclampsia.

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A study on the perinatal outcome in cases of oligohydramnios

Cited by 6 publications

References 0 publications

Correlation of reduced amniotic fluid index with neonatal outcome

Correlation of reduced amniotic fluid index with neonatal outcome

Impact of oligohydramnios on maternal and perinatal outcome: a comparative study

The Relationship between Amniotic Fluid Index (AFI) & Single Largest Vertical Pocket and Perinatal Outcome in Late Severe Preeclampsia

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