Oligoamnios and Perinatal Outcome

Panda, Sandhyasri; Jayalakshmi, M; Kumari, G. Shashi; Mahalakshmi, G. S.; Srujan, Y.; Anusha, V.

doi:10.1007/s13224-016-0938-3

Cited by 13 publications

(12 citation statements)

References 15 publications

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“…In present study, low birth weight (LBW) was found in 18 (51.43%) cases in group 1 and 12 (18.46%) cases in group 2 and this difference was found to be statistically significant (p=0.001); which is comparable to study by panda et al 9 Showing LBW in 32 % in group 1 and 12 % in group 2 women, indicating oligohydramnios had an association with fetal growth restriction.…”

Section: Discussionsupporting

confidence: 84%

Oligohydramnios and its perinatal outcome

Saxena

Verma

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Oligohydramnios is one of the major causes of perinatal morbidity and mortality. The sonographic diagnosis of oligohydramnios is usually based on an AFI≤5 cm or on a single deepest pocket of amniotic fluid≤2 cm3. Our study was aimed to study the perinatal outcome in oligohydramnios. Aim and objective were to study obstetric risk factors associated with oligohydramnios and maternal outcome in the form of mode of delivery, and to assess neonatal complications in terms of APGAR score at birth, NICU admission rates, meconium stained liquor and still birth rates.Methods: It was an Observational, Prospective, clinical study of 100 pregnant patients diagnosed with oligohydramnios by ultrasound, carried out in Geetanjali medical college and hospital, Udaipur for period of from January 2020-August 2020. The study was conducted after ethical clearance and with informed consent. Detailed history on demographic profile, medical illness, obstetric history and antenatal complication if any in the present pregnancy; general examination, obstetric examination and bimanual examination were performed meticulously.Results: In our study 53% cases of oligohydramnios were associated with some of the risk factors like PIH (29%), IUGR (22%), fetal anomaly (1%), systemic maternal disease (1%) and 47% of the cases were Idiopathic. LSCS was done in 85.71% cases with AFI<5 cm. Low birth weight was found in 51.43% cases with AFI<5 cm. NICU admission was required for 28.57% cases with AFI<5 cm.Conclusions: AFI is an important and convenient screening test for prediction of perinatal outcome. In presence of oligohydramnios, the risk of fetal distress, operative delivery, low Apgar score, low birth weight, perinatal morbidity and mortality are more. Hence early detection of oligohydramnios, associated antenatal risk factors and timely management can improve the maternal and fetal outcome.

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Section: Discussionsupporting

confidence: 84%

Oligohydramnios and its perinatal outcome

Saxena

Verma

2020

Int J Reprod Contracept Obstet Gynecol

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“…Similar findings were found in other studies for oligohydramnios mothers. [7][8][9] However, many studies had lower rates of caesarean section. [10][11][12] Our study had a higher number of elective caesarean section, which may be the reason for this conflicting finding.…”

Section: Discussionmentioning

confidence: 99%

“…17,18 In addition, majority of the study have concluded that oligohydramnios and polyhydramnios is associated with increased perinatal complications. [6][7][8][9]11,13 All these factors have lead to a negative trend of increased caesarean section rates. Conducting a randomized control trial on the optimal delivery route for oligohydramnios or polyhydramnios conditions is the best solution, but has ethical issues.…”

Section: Discussionmentioning

confidence: 99%

Correlation of amniotic fluid index with fetomaternal outcome

Vidyasagara

Chandrashekhar

Raikar

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Amniotic fluid acts like a protective cover around the baby. Advances in ultrasound have increased early detection of abnormal amniotic fluid volumes. Any variation in the amniotic fluid volume warrants antenatal foetal surveillance.Methods: 300 pregnant women between 37 to 40 weeks of gestation were included in the study. A detailed history, examination and ultrasound was done. Pregnant women were divided into 3 groups’ i.e. normal liquor, oligohydramios and polyhydramnios. All the women were closely monitored during labour and puerperium. Follow-up was done till 7 days post-delivery. Maternal and neonatal data were collected.Results: 300 pregnant women were included in the study, out of which 221 had normal amniotic fluid index (AFI), 64 had oligohydramnios and 15 had polyhydramnios. All baseline characteristics were comparable between the groups except body mass index (BMI). Incidence of meconium stained liquor was significantly higher in oligohydramnios compared to normal AFI and polyhydramnios groups (34.4% versus 10.5% versus 13.3%; p=0.0001). Caesarean section rates were significantly higher in polyhydramnios and oligohydramnios compared to normal AFI group (73.3% versus 70.3% versus 19.9%; p=0.0001). Higher cases of low birth weight were recorded in oligohydramnios group compared to normal AFI and polyhydramnios group group (32.8% versus 18.6% versus 13.3%; p=0.011). Neonatal intensive care unit (NICU) admissions were higher in oligohydramnios (35.9%) and polyhydramnios (33.3%) compared to normal AFI group (35.9% versus 33.3% versus 12.7%; p=0.0001).Conclusions: Abnormal liquor volumes are associated with increased caesarean section rates, NICU admissions and neonatal mortality. Careful assessment of pregnant women is imperative for proper counselling and management.

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“…The mean gestational age in the present study 36.7 +/-4.1 weeks. Studies by Jun Zhang et al [3] , Everett et al [4] , Casey B et al [5] and Sandhyasri Panda et al [6] found that the mean gestational age were 38.1 +/-3.3 weeks, 37.5 +/-2 weeks, 34.3 +/-2.1 weeks and was 36.3 +/-2 weeks respectively. These findings indicate that the problem of oligohydramnios was more common in later part of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of oligohydramnios among the third trimester pregnant women and its perinatal outcome

Vilvapriya¹,

Veeraragavan²,

Aiswarya³

2021

Int. J. Clin. Obstet. Gynaecol.

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To describe oligohydramnios in terms of age, parity, gestational age wise distribution, maternal morbidity and perinatal morbidity. Methods: A prospective study was carried out in Department of OBG, Govt Kilpauk Medical College Hospital, and Chennai. History, clinical examination and Ultrasound carried out to determine Amniotic fluid index for 12000 third trimester antenatal mothers in the study period. 150 patients detected with oligoamnios were followed up and analysis of outcome carried out. Results: The mean gestational age was 36.7+/-4.1 weeks. The mean amniotic fluid index was 3 +/-1.04cm. Gestational hypertension was present in 24% cases. 20% had postdated pregnancy. Incidence of intra uterine growth restriction was 14%. The rate of cesarean section was 63% and that of vaginal delivery was 35%. APGAR score of less than 7 at 1minute was noted in 16.66% and 5 minutes in 17.33% newborns. The gross perinatal mortality was 2.6%. Conclusion: All cases of oligohydramnios need careful antenatal evaluation, parental counseling, individualized decision regarding timing and mode of delivery. Continuous intrapartum fetal surveillance and good neonatal care are necessary for better perinatal outcome.

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Oligoamnios and Perinatal Outcome

Abstract: Oligoamnios has a significant correlation with adverse perinatal outcome.

Cited by 13 publications

References 15 publications

Oligohydramnios and its perinatal outcome

Oligohydramnios and its perinatal outcome

Correlation of amniotic fluid index with fetomaternal outcome

Prevalence of oligohydramnios among the third trimester pregnant women and its perinatal outcome

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