Perinatal outcome associated with oligohydramnios in third trimester

January 2017 · Volume 6 · Issue 1 Page 72 International Journal of Reproduction, Contraception, Obstetrics and Gynecology Chaudhari KR et al. Int J Reprod Contracept Obstet Gynecol. 2017 Jan;6(1):72-75 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 Original Research Article Perinatal outcome associated with oligohydramnios in third trimester Kamlesh R. Chaudhari 1 *, Kushagra R. Chaudhari 2 , Omkar M. Desai 1 INTRODUCTION Prolonged Oligohydramnios increases the risk of Potter sequence which in addition to pulmonary hypoplasia includes fetal skeletal and facial deformities due to prolonged external compression and abnormal fetal development due to compression of uterine wall and adherent fetal parts. The Caesarian section rate for fetal distress was 41% in patients with oligohydramnios. 1 Oligohydramnios has significant correlation with Caesarean section for fetal distress and low birth weight babies. 2 Management of Oligohydramnios in late pregnancy depends on clinical situation. In a pregnancy complicated by Oligohydramnios and fetal growth restriction, closed fetal surveillance is important because of associated morbidity and mortality. 3 Delivery is recommended for fetal and maternal indications. Aims and objective To study the effect of Oligohydramnios on fetal outcome in form of: 1. Fetal distress 2. Meconium staining of amniotic fluid 3. APGAR score of new born babies 4. Birth weight 5. NICU admission 6. Early neonatal morbidity and mortality 1 Department of Obstetrics and Gynecology, K. J. Somaiya Medical College and Research Centre, Mumbai, Maharashtra, India 2 Department of Paediatrics, K. J. Somaiya Medical College and Research Centre, Mumbai, Maharashtra, India Received: 22 March 2016 Revised: 17 November 2016 Accepted: 18 November 2016 *Correspondence: Dr. Kamlesh R. Chaudhari, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: We aimed to evaluate the effect of Oligohydramnios on fetal outcome in terms of fetal distress, Meconium staining of amniotic fluid, birth weight, Apgar score of newborn babies, NICU admission, early neonatal morbidity and mortality. Methods: This was a prospective study of 156 antenatal patients booked at K. J. Somaiya medical college and research centre during the year January 2012 to December 2013 with gestational age between 30-40wks with AFI<5cms with intact membranes were analyzed for perinatal outcome. Results: The Caesarian section rate for fetal distress was 41% in patients with Oligohydramnios. Meconium staining of amniotic fluid was found in 30.7% patients. APGAR score at 5 minutes <7 was found in 6 patients (3.8%). Conclusions: Oligohydramnios has significant correlation with Caesarean section for fetal distress and low birth weight babies. Oligohydramnios is associated with high rate of pregnancy complication and increased perinatal morbidity and mortality. Oligohydramnios is a frequent occurrence demand careful evaluation, intensive parental counseling, fetal surveillance and proper antepartum and intrapartum care. Keywords: AFI, Fetal distress, Oligohydramnios, Perinatal outcome DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20164635

Perinatal outcome associated with oligohydramnios in third trimester

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