Perinatal outcome in oligohydramnios and borderline amniotic fluid index: a comparative study

Gaikwad, Pradip R.; Oswal, Mona S.; Gandhewar, Manisha; Bhatiyani, Binti R.

doi:10.18203/2320-1770.ijrcog20161699

Cited by 10 publications

(24 citation statements)

References 9 publications

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“…Thus, post term can be taken as an independent predictor of adverse perinatal outcome in women who present with oligohydramnios. Similary, IUGR is a marker of adverse outcome by itself [40,41]. The signi cantly higher rates of composite adverse perinatal outcome in the present study reveals IUGR as a signi cant independent predictor of adverse outcome in women with oligohydramnios.…”

Section: Sample Size Determinationsupporting

confidence: 69%

Determinants of Maternal and Neonatal Outcomes of Oligohydramnios After 37+0 Weeks of Gestation in Mekelle Public Hospitals, Northern Ethiopia

Gidey

Gebreezgabher

Yemane

et al. 2020

Preprint

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Background Oligohydramnios is a state of deficient amniotic fluid defined objectively using ultrasound measurements as single deepest vertical pocket less than 2 centimeters and/or amniotic fluid index less than 5 centimeters. It has been correlated with conditions that threaten both maternal and fetal health. The aim of this stuy is to assess determinants of adverse maternal and perinatal outcome in women with oligohydramnios after 37+0 weeks in Ayder Comprehensive Specialized Hospital and Mekelle General Hospital from April 1, 2018 – March 31, 2019.Methods This was prospective observational study. Total population purposive sampling method was employed to collect data prospectively. Result During the study period, there were a total of 10,451 deliveries, of which 273 were complicated with oligohydramnios, making the prevalence of term oligohydramnios 2.6%. The composite adverse perinatal and maternal outcomes were 38.1% and 89.4% respectively. Primigravidity, degree of oligohydramnios, presence of intrauterine growth restriction and postterm pregnancy were associated with adverse perinatal outcome. Degree of oligohydramnios and hypertensive disorders of pregnancy were found to be predictor of composite adverse maternal outcome. Conclusion Appreciation of determinants of composite adverse maternal and neonatal outcome can aid prompt interventions and mobilization of resources for resuscitation and early transfer to neonatal intensive care unit. Knowledge of determinants of maternal outcome can serve as a tool for patient counseling and for anticipation of maternal complications.

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Section: Sample Size Determinationsupporting

confidence: 69%

Determinants of Maternal and Neonatal Outcomes of Oligohydramnios After 37+0 Weeks of Gestation in Mekelle Public Hospitals, Northern Ethiopia

Gidey

Gebreezgabher

Yemane

et al. 2020

Preprint

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“…2018 Nov;7 (11):4615-4618 and borderline liquor groups compared to control group though not statistically significant similar as Akshaya K et al and Ashraf J et al 2,5 Several studies have reported significant increase in the incidence of LSCS and the indication for fetal distress among the oligohydramnios group and no significant difference in the borderline AFI group and normal group. 4,6,8 In present study, low Apgar score at 5 minute and admissions to NICU were significantly higher among the oligohydramnios group compared to the borderline and normal liquor group which was similar to various studies. 4,9 On the contrary certain studies have reported neonatal complications were higher among borderline liquor in comparison to normal liquor group.…”

Section: Discussionsupporting

confidence: 91%

“…9 Studies have reported no statistical difference in neonatal outcome among the oligohydramnios and borderline liquor. 6,8 In present study, there was a significant increase in low birth weight babies among the oligohydramnios group when compared to borderline and normal liquor groups which was similar to Locatelli et al 11 Certain studies have reported increased incidence of IUGR among pregnancies with borderline liquor compared to those with normal liquor. 7,9…”

Section: Discussionsupporting

confidence: 88%

“…2,4,5 Gaikwad et al reported no significant difference between oligohydramnios and borderline liquor. 6 Present study revealed the incidence of operative delivery was significantly higher in oligohydramnios group and borderline liquor compared to the normal group similar to Akshaya K et al 2 Shahida et al and Wood et al have shown no significant difference in the incidence of operative delivery in the borderline AFI group and normal group. 4,7 Fetal distress was found to be the most common indication for cesarean delivery in the oligohydramnios Thomas JS et al Int J Reprod Contracept Obstet Gynecol.…”

Section: Discussionsupporting

confidence: 81%

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Fetomaternal outcome following labour induction in oligohydramnios and borderline liquor: a retrospective study in a tertiary care hospital

Thomas

Daniel

Selvaraj

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Amniotic fluid provides a protective milieu for the growing fetus in pregnancy and labour. A decrease in the amniotic fluid volume has been associated with increased maternal morbidity and fetal morbidity and mortality. The purpose was to compare the effect of labour induction on the fetomaternal outcome in women with oligohydramnios, borderline liquor and normal liquor at term.Methods: A retrospective study of all the labour induction in women with oligohydramnios, borderline liquor and normal liquor volume at 37-42 weeks gestation in a tertiary care teaching hospital. The demographic characteristics, maternal outcomes like mode of delivery, indication for operative delivery, meconium stained liquor and perinatal outcomes were compared in between the three groups. Parametric data was compared by chi-square test and non-parametric data by students’-test. A p-value less than 0.05 was taken as significant.Results: Among the 2338 deliveries during the study period, labour was induced in 266 women (11.3%). Out of which, 109 cases (40.9%) in oligohydramnios group, 111cases (41.7%) in borderline liquor group and 46 cases in normal liquor group. The incidence of meconium stained liquor, the number of operative deliveries and fetal distress was significantly higher and significantly lower birth weight (<2.5 kg) in the group with oligohydramnios and borderline liquor (p <0.05). Low Apgar score and admission to neonatal intensive care unit was higher in the oligohydramnios group (p<0.05).Conclusions: Induction of labour on detecting borderline liquor at term may help in reduction of maternal and fetal morbidity and mortality.

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“…It is normally anticipated as a sign of placental insufficiency. 3 Most severe and frequent complication of pregnancy is Oligohydramnios and the incidence of this is observed to be about 1-5% of total pregnancies. 4 Associate congenital fetal abnormalities with oligohydramnios are uteroplacental insufficiency, premature rupture of membranes, growth retardation, postterm pregnancy, chronic abruption placentae.…”

Section: Introductionmentioning

confidence: 99%

Maternal and fetal outcome in oligohydramnios: study from a tertiary care hospital, Ahmedabad, India

Ghosh

Oza

Padhiyar

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Most severe and frequent complication of pregnancy is Oligohydramnios and the incidence of this is observed to be about 1-5 % of total pregnancies. Objective of present study was to find the maternal and perinatal outcome, etiology associated with oligohydramnios at tertiary care hospital.Methods: This prospective study was done among 55 patients with gestational age from 30-40wks with Oligohydramnios AFI<5cms with intact membranes were analysed for perinatal outcomes admitted at department of obstetrics and Gynecology in B.J. Medical college, Ahmedabad during July 2008 to July 2010.Results: 65.5% participants were belonged to 20 to 25 age group and 35.5% participants were Primigravida. Mean age was 23.9±3.3 years and mean gestation age was 36.9 week. Almost 72.2% were in 34 to 37 weeks of gestational age. Study found FMC <10 in 56.4% of participants. Forty percent participants have AFI 4 and 27.3% have AFI 5. 47.3% delivery was done by vaginal route. 5.5% baby was still birth and prematurity were the most common cause of still birth. Around 71% babies were low birth weight and congenital anomalies were present in 7.3% babies. APGAR score measured <7 at 1 minute was in 65.4% and <7 at 5 minutes was in 43.6% babies.Conclusions: Oligohydramnios in obstetrics is a frequent occurrence and it points towards intensive surveillance and proper ante-natal and post-natal care. Due to high perinatal morbidity and mortality, the incidence of LSCS increases. However, vaginal delivery has similar outcome, but strict vigilance in labor is mandatory.

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Perinatal outcome in oligohydramnios and borderline amniotic fluid index: a comparative study

Cited by 10 publications

References 9 publications

Determinants of Maternal and Neonatal Outcomes of Oligohydramnios After 37+0 Weeks of Gestation in Mekelle Public Hospitals, Northern Ethiopia

Determinants of Maternal and Neonatal Outcomes of Oligohydramnios After 37+0 Weeks of Gestation in Mekelle Public Hospitals, Northern Ethiopia

Fetomaternal outcome following labour induction in oligohydramnios and borderline liquor: a retrospective study in a tertiary care hospital

Maternal and fetal outcome in oligohydramnios: study from a tertiary care hospital, Ahmedabad, India

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