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Category: Volume 05 Issue 11 November 2017
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Title: Feto Maternal Outcome of Amniotic Fluid Abnormalities

Authors: Dr Shifana S, Dr Vasanthakumari K P

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.50

Abstract

Introduction: Amniotic fluid is the protective fluid surrounding the fetus which provides support for the growing fetus. Amniotic fluid volume abnormalities are associated with a number of abnormal fetomaternal outcomes. Antepartum surveillance with the assessment of amniotic fluid volume has become an integral component in the management of pregnancies at risk to avoid abnormal maternal and fetal outcome.

Objectives: The primary objective of the study was to study the fetomaternal outcome in amniotic fluid abnormalities. The secondary objective was to study the risk factors in abnormal fetomaternal outcome in amniotic fluid abnormalities.

Methodology: A hospital based cross sectional study was carried out among600 antenatal women admitted at SAT Hospital, Trivandrum, diagnosed with amniotic fluid abnormalities. A semi structured questionnaire was used to collect data. The data was analyzed using SPSS v.20 (trial version).

Results: It was observed that 428 women (71.3 %) had abnormal maternal outcome. The abnormal maternal outcomes were categorized into groups. 259 women (43.2%) had cesarean deliveries. 8 women (1.3%) had instrumental deliveries. 228 women (38%) had induction of labor. 74 women (12.3%) had malpresentation. 14 women (2.3%) had post partum hemorrhage. 4 women (0.6%) had placental abruption.

In this study 371 women (61.8%) had abnormal fetal outcome. 197 (32.8%) babies were preterm. 313 babies (52.1%) had low birth weight (< 2.5 kg). 122 babies (20.3%) had low APGAR (<7 at one minute). 229 babies (38.2%) were admitted in NICU. 28 babies (4.7%) had congenital anomalies. 13 babies (2.1%) had neonatal death. 35 babies (5.8%) had been admitted in NICU due to meconium stained amniotic fluid.48 babies (8%) had respiratory distress syndrome

Keywords: Amniotic fluid, Respiratory distress, Feto maternal outcome, Cesarean Delivery.

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Corresponding Author

Dr Vasanthakumari K P

Associate Professor, Dept of O and G SAT Hospital

Govt. Medical College, Trivandrum