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Abstract
Introduction
Oligohydramnios is found 10 de: associated with increaxed frequency of maternal & foetal complications like cord compresion and fetal distress, foetal pulmonary hypoplasia & *tillbicth, foctal growth rextriction, low Apgar score, NICU admiszion and foctal mortality.
The preent Study is undertaken to analyze the utility of AFL to asxees fetomatemnal mortality and morbidity in patients prezenting with oligohydramnios in our hospital with the aim of better outcome.
Objectives
• To observe clinical conditions in the mother azxociated with oligohydramnios.
• To azzess maternal outcome in oligohydramnios.
• To evaluate fetal outcome in oligohydramnios.
Methodology
All pregnant women with period of gestation of 82-42 weeks diagnosed with amniotic fluid volume less than or equal to 5 admitted at Vydehi Institute of Medical Sciences, Bengaluru were inclueded in study.
The semi-quantitative method of calculating AFI by using ultrasound to measure the sum of the deepest pockets of amniotic fluid in four quadrants was used to evaluate oligohydramnios.
A total of 148 patients were enrolled for the study and the study was carried over the period of 1.5 years from January 2018 to June 2019.
Results
148 pregnant women with singleton cephalic pregnancies with reduced amniotic fluid vobume determined by AFI less than 5 cm were studied for feto-maternal outcomes. ‘The mean AFI of the study group was 4.37 +/+ 1,06 cm. 56.08% of the study population Showed no Doppler changes. 25.68% of the cases were induced far labour white 45.95% Progressed spontancousty. 22.68% were preterm deliveries anvong the oligohydramaios patients. 58.78% of the cases underwent LSCS in view of the most common indication being fetal distress, 46.62% of the new born belonged to birth weight less than 2.5 kg. Mean Apgar score at S minutes among the oligohydramnios new bom was 8.2041.27. 17.57% of the cases required NICU admission with the most common indication for NICU admission being respiratory distress soon after birth. The mean duration of stay in NICU was 37.15223.18 days.
Conclusion
Diagnosis of decreased amniotic fluid volume on routine ultrasound requires close antepartum observation. The time of diagnosis of the condition bears direct relationship to the fetal outcome. Early detection and referral to higher center with timely intervention will improve the maternal and fetal outcome in cases of oligohydramnios.
