Title: A Clinical Study of 350 Oligohydromnios Cases in a Tertiary Care Centre
Authors: Suman Meena, Ram Gopal Meena, Anjali Jasawat, Mamta Sabal
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.164
Abstract
oligohydromnnios is defined as reduction in amniotic fluid volume or AFI <5cm. For maternal and fetal health oligohydromnios has become a threatening condition. With the aim of highlighting the condition of oligohydromnios in our institute. This retrospective study including 350 term pregnancy cases were taken who had undergone caesarian section with the indication of oligohydromnios. Maternal condition like the hypertension, premature rupture of membranes, postdated pregnancies, age and parity were seen and fetal condition in term of the fetal weight, presence of the meconium stained liquor and status of the baby at term whether alive or dead were noted. In results we found 95% of patients were in the age group of 20-30 years and 62% of them were primigravida. 74% of cases were idiopathic where no cause could be found followed by the postdated pregnancies (11.7%) and Pregnancy induced hypertension (). Fetal distress was present in 39.4%, meconium stained liquor was seen in 28% of cases. 75% of the babies were of the average weight, while only 24% were underweight. All of these babies were alive at birth. With this study will concluded that adverse fetal outcome is associated with oligohydromnios.
Keywords: oligohydromnios, meconium, primigravida.
References
1. Locatelli A, ZoKarella A,Toso S et al.Serial Assessment of amniotic fluid index in uncomplemented term pregnancies; Prognostic value of amniotic fluid reduction.J Maternal fetal neonatal Med 2004;15(233)
2. Magann EF ,Chauhan SP,Bofill JA,Martin JN.Comparability of AFI and single deepest pocket measurement in clinical practice. Aust NZ J Obstetrics Gynaecol. 2003;43:75-77
3. Bengal VB Purshottam AG,Bhushan MS.Incidence of oligohydramnios dyring pregnancy and its effects on maternal and perinatal outcome.J Pharma Biomed Sci 2011;12(12):5
4. Guin G,Punekar S,Lele A,Khare S.A prospective study of fetomaternal outcome in pregnancy of abnormal liquor volume. Jr. Obstet Gynaecol India:2011:61:652-5
5. Casey BM.McIntine DD,Bloom SL,Lucal MS,Santes R,Twickler DM et al.Pregnancy outcomes after anteparum diagnosis of oligohydramnios at or beyond 34 weeks of gestation.Am.Jr.Obet Gynaecol 2000;182(4):909-12
6. Krishna Jakatia,Nisha Singh,Sachin Patel. Maternal & Fetal outcome in oligohydra-mnios : A study of 100 cases Int.J. Med.Sci. Public Health 2013;2(3):724-727
7. Vibha Moses,Sarita Thakre.A study of maternal & Fetal outcome in third trim-ester diagnosed case of oligohydramnios. Int.Jr. of Reproduction ,Contraception Obsteric Gynaecol2016 sept;5(9):2944-2948
8. Sawmya K, Betty Varghese and Umashankar Borkar Y et al.Effect of isolated oligohydramnios in the otherwise normal term pregnancy.Int.Jr. of Biomedical Research (2014)5(2)
9. Preshit Chate,Meena Khatri & C Hariharan et al.Pregnancy outcome after diagnosis of oligohydramnios at term.Int.Jr.of Reproduction, Contraception,Obsteric & Gynaecol 2013March 2(1);23-26
10. Syria R,Singhai S,et al.Perinatal outcome in patients with Amniotic fluid index <5cm.Jr.Obstet & Gynae India 2005;51:98-100.