IMPACT OF OLIGOHYDRAMNIOS ON THE FETO-MATERNAL OUTCOME - A RETROSPECTIVE STUDY AT A TERTIARY CARE CENTER
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Keywords
Oligohydramnios, Borderline Oligohydramnios, Fetal Growth Restriction.
Abstract
Background: The incidence of oligohydramnios is 1-5%.Oligohydramnios is associated with increased maternal and fetal morbidity. Barcelona criteria stages Fetal Growth Restriction into four categories, but does not consider amniotic fluid volume as a parameter for obstetric decision-making. This study aims to assess the possibility of oligohydramnios (low AFI scores) as an independent risk factor.
Methods: This study group was divided into three subgroups. The first group was women with AFI<5cm, second group with AFI 5-8 cm (borderline), and third group is AFI>8cm. Women with AFI > 8cm were controls. A study group of 160 women meeting the inclusion criteria from January 2020 to January 2023 was created. A comparative analysis was done.
Results: Oligohydramnios group had higher rate of induction of labor (66.7%) as compared to borderline AFI (41%) and normal AFI (43.9%). A statistically significant difference was observed in indications of emergency cesarean section among the 3 groups. Out of 40 neonates who were admitted in NICU, 47.5% had respiratory distress, 15% had birth asphyxia, neonatal jaundice (15%), hypoglycemia (10%), neonatal sepsis (7.5%), Meconium aspiration (2.5%), hypothermia (2.5%).
Conclusion: As independent risk factor for a, AFI can be used to predict poor feto-maternal outcome and can help in initiating timely intervention in Medical centers where the expertise for the Doppler studies is unavailable.
References
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Dr. Rashmi Solanke
Assistant Professor, Department of Obstetrics & Gynecology, Government Medical College, Nagpur, Maharashtra, India.
Dr. Samita Kumari Pallo
Department of Obstetrics & Gynecology, AIIMS, Bhubaneswar, Odisha, India.
Dr. Kirti Rachwani
Assistant Professor, Department of Obstetrics & Gynecology, Government Medical College Nagpur, Maharashtra, India.
Dr. Shreya Dahiwade
Assistant Professor, Department of Obstetrics & Gynecology, Government Medical College, Nagpur, Maharashtra, India.