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

Background: Oligohydramnios is associated with adverse perinatal outcome in the form of meconium staining, intrauterine growth restriction (IUGR), caesarean section for abnormal fetal heart rate tracing, low Apgar score and neonatal intensive care unit (NICU) admission. Methods: This was a prospecti...

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Bibliographic Details
Published inInternational Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 5; no. 6; pp. 1964 - 1968
Main Authors Gaikwad, Pradip R, Oswal, Mona S, Gandhewar, Manisha R, Bhatiyani, Binti R
Format Journal Article
LanguageEnglish
Published International Journal of Reproduction, Contraception, Obstetrics and Gynecology 01.06.2016
Subjects
Amniotic fluid
Analysis
Comparative analysis
Complications and side effects
Health aspects
Heart rate
Oligohydramnios
Patient outcomes
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Summary:Background: Oligohydramnios is associated with adverse perinatal outcome in the form of meconium staining, intrauterine growth restriction (IUGR), caesarean section for abnormal fetal heart rate tracing, low Apgar score and neonatal intensive care unit (NICU) admission. Methods: This was a prospective study of 100 singleton pregnancies beyond 28 weeks of gestation with AFI< 8 cm, delivered within seven days of admission. Patients were divided in two groups, those with AFI [less than or equal to] 5 cm and borderline AFI of 5.1 to 8 cm. Perinatal outcome was studied in the form of onset of labor, mode of delivery, fetal heart rate variations, meconium staining and lower segment caesarean section (LSCS) for fetal distress, Apgar score, birth weight, NICU admission and neonatal mortality. Results: Patients with oligohydramnios with AFI [less than or equal to] 5 cm were significantly associated with IUGR and presence of abnormal umbilical artery Doppler velocimetry (p <0.05). Adverse perinatal outcome was seen in higher percentage of patients having AFI [less than or equal to] 5 cm than with borderline AFI. The difference was statistically significant for overall caesarean delivery rate and LSCS for fetal distress (p < 0.05). Conclusions: Oligohydramnios with AFI of [less than or equal to] 5 cm is associated with high caesarean delivery rate and LSCS for fetal distress. Keywords: Perinatal outcome, Amniotic fluid index, AFI; Oligohydramnios, Borderline, Marginal
ISSN:2320-1770
DOI:10.18203/2320-1770.ijrcog20161699