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, Mezigebu; Mengistu, Zelalem; Tsehaye, Winta; Sisay, Getasew

doi:10.3389/fgwh.2022.958617

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…The present study showed the most common indication for C/S was fetal distress (42.9%) which is similar to the studies conducted by Molla M et al [33] showed that the most common indication for C/S was fetal distress in pregnant women with oligohydramnios ( 40.3%) and Amin A et al [34] observed that the most common indication for C/S was fetal distress (47.5%). On the other hand, Niamrat T et al [32] reported a low rate of fetal distress for C/S ( 14.7%) which might be due to closed monitoring in antepartum and intrapartum pregnant women who had oligohydramnios.…”

Section: Discussionsupporting

confidence: 90%

Prevalence of Pregnant Women With Oligohydramnios and Its Effect on Maternal and Fetal Outcome

Abdullah,

Ahmed

2024

Electron. J. Univ. Aden Basic Appl. Sci.

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Oligohydramnios is a pregnancy condition characterized by low volume of amniotic fluid. Based on ultrasound measurement, it is defined as an amniotic fluid index (AFI) ≤ 5cm and associated with adverse fetal and maternal outcomes. To study the prevalence of oligohydramnios and its effect on maternal and fetal outcome in third trimester (≥ 28 weeks) of pregnant women admitted at AL-Sadaqa Teaching Hospital in the period of study from 1st January to 31st December 2020. This study is a prospective descriptive study was performed at AL-Sadaqa Teaching Hospital, Gynecology and Obstetrics Department among 100 pregnant women in third trimester diagnosed as oligohydramnios by ultrasound (AFI≤ 5cm). The results were analyzed by using the statistical package social software (SPSS), version 25. The study showed the prevalence of oligohydramnios during study period was (1.5%), and the mean age of the affected women was 27.72 ± 6.8 years. The half of the cases were in age group between 20-29 years (50%) and the gestational age were between 37-40 weeks (50%), and slightly more than half of the women were nulliparous (58%). The rate of caesarean section was (56%), and the most indication for cesarean section was fetal distress (42.9%). The fetal complications showed in this study were low birth weight (40%), preterm birth (27%) and meconium aspiration (11%). The Apgar score <7 in 5th minutes was (17%) of the newborns and the rate of perinatal mortality was (7%). The prevalence of oligohydramnios in this study was (1.5%) which is within the normal limit worldwide. The study showed that the oligohydramnios in a pregnant woman has many complications for the fetus as well as the mother, but it more dangerous for the fetus. For mother there is increase intervention in the form of induction of labor and cesarean delivery. An early detection of oligohydramnios, identification of the risk factors and its management may help in reduction of these complications.

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Section: Discussionsupporting

confidence: 90%

Prevalence of Pregnant Women With Oligohydramnios and Its Effect on Maternal and Fetal Outcome

Abdullah,

Ahmed

2024

Electron. J. Univ. Aden Basic Appl. Sci.

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“…Similar observations were found by Saxena et al where low birth weight babies were found in (51.43%) of patients and Panda et al showing LBW in 32% of patients. 21,22 NICU admission was required in almost 26.6% of the newborns correlating with 26.1% in the study by Molla et al and 28% in the study by Rita et al 14,23 No neonate required NICU admission in the study by Nankali Anisodowlel et al but they found meconium-stained liquor in around 20% of the cases which was comparable to our findings. 24 We found foetal distress in 17% of the cases, slightly higher than the study by Jagatia et al and lower than the study by Ray et al who found it to be 41%.…”

Section: Discussionsupporting

confidence: 89%

“…In the study by Rachakonda et al 76% patients were in the age group of 20-29 years. 11 More than half of our patients (55%) were primigravida which was almost similar to the incidence of 56% reported by Bhat et al 12 This higher incidence in primigravida as compared to multigravida was similar to the study by Twesigomwe et al 8 A higher incidence of 52% was also reported by Jagatia et al and 51% by Molla et al 13,14 Reasons postulated for higher occurrence of oligohydramnios in primigravidae are that disorders of pregnancy are exaggerated in primigravidas compared to multigravidas. Moreover, some complications, such as hyperemesis gravidarum, and infections (e.g., malaria), have been reported to be associated with oligohydramnios.…”

Section: Discussionsupporting

confidence: 85%

Clinico-epidemiologic profile and perinatal outcome of patients with oligohydramnios in third trimester in a tertiary care hospital

Bumrah

Grover

Kaur

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Oligohydramnios has an incidence of around 1-5% of total pregnancies. It is associated with adverse perinatal outcomes like preterm delivery, low birth weight, foetal distress, and passage of meconium and NICU admission. Aims and objectives were to study the risk factors associated with oligohydramnios in pregnancy and to evaluate the perinatal outcome in patients with oligohydramnios. Methods: The present study was a prospective observational study of six months, which included 60 patients with gestational age >28 weeks, selected after verifying the inclusion and exclusion criteria. A detailed history and clinical examination done and relevant investigations sent. Patients were followed up postpartum till discharge from hospital. Results: The prevalence of oligohydramnios is found to be 8.5% in our study and there were more primigravida (55%). Oligohydramnios was idiopathic in 50% of our patients, followed by presence of hypertensive disorders in 20%. Caesarean delivery was required in 48.3% of the patients. In terms of perinatal outcome, 46.6% of the babies were low birth weight, 38.3% preterm, NICU admission in 26.6% and stillbirth rate was found to be 6.6%. Conclusions: Oligohydramnios was an isolated finding in half of the cases and in these only adverse perinatal outcome noted was small for gestational age. When associated with risk factors, oligohydramnios was associated with increased perinatal morbidity and mortality in terms of prematurity, foetal distress, low birth weight, NICU admission, stillbirth.

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“…3 Studies have linked oligohydramnios with complications such as meconium aspiration, intrauterine growth restriction, stillbirth, and neonatal mortality. [4][5][6] Moreover, it heightens the likelihood of maternal complications, necessitating interventions like induced labor and cesarean deliveries. 2 Despite the established association between oligohydramnios and adverse outcomes, the impact of isolated borderline oligohydramnios remains a subject of debate.…”

Section: Introductionmentioning

confidence: 99%

Maternal and perinatal outcomes, and associated factors in isolated borderline oligohydramnios: a cross-sectional analytical study

S.,

Gayathri

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Borderline oligohydramnios is associated with adverse perinatal outcomes. This study aimed to assess the impact of borderline oligohydramnios on maternal and perinatal outcomes, focusing on mode of delivery, fetal distress, neonatal morbidity, and NICU admissions. Methods: A cross sectional analytical study comprising 80 antenatal mothers (≥34 weeks) with borderline oligohydramnios was conducted at an Indian hospital. Data were collected through a semi-structured questionnaire and case record reviews. Maternal and perinatal outcomes were analyzed, including mode of onset and delivery, Apgar scores, NICU admissions, and neonatal morbidity. Results: The mean (SD) age of the participants was 24.5 (2.1) years. Induced labor was prevalent (41%), with 7% of infants experiencing neonatal morbidity, mainly meconium aspiration and neonatal sepsis. About 60% (n=40) delivered a baby between a weight 2.5 to 3 kg, 63% (n=50) had APGAR score more than 7, 34% (n=27) admitted to neonatal intensive care units, and the main reason for NICU admission was fetal distress (n=44.4%). The reason for neonatal morbidity was meconium aspiration (5%) followed by neonatal sepsis (2.5%). Non-reassuring NST and amniotic fluid nature significantly correlated with NICU admissions, while age and AFI influenced delivery mode. Conclusions: Borderline oligohydramnios led to a high rate of induced labor, yet neonatal morbidity was relatively low. Non-reassuring NST and amniotic fluid nature significantly impacted NICU admissions. Further research on a larger scale is warranted to validate these findings for widespread implementation.

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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

Cited by 4 publications

References 27 publications

Prevalence of Pregnant Women With Oligohydramnios and Its Effect on Maternal and Fetal Outcome

Prevalence of Pregnant Women With Oligohydramnios and Its Effect on Maternal and Fetal Outcome

Clinico-epidemiologic profile and perinatal outcome of patients with oligohydramnios in third trimester in a tertiary care hospital

Maternal and perinatal outcomes, and associated factors in isolated borderline oligohydramnios: a cross-sectional analytical study

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